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Organization
SOUTH ARKANSAS MEDICAL ASSOCIATES IDTF
Active
Organization
SOUTH ARKANSAS MEDICAL ASSOCIATES IDTF
Active
Other names
SAMA HealthCare Services IDTF
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY E DETWILER (ADMINISTRATOR)
(870) 864-8120
Entity
Organization
Contact information
Practice address
600 S TIMBERLANE DR, EL DORADO, AR 71730-6990
(870) 862-2400
(870) 862-1891
Mailing address
600 S TIMBERLANE DR, EL DORADO, AR 71730-6990
(870) 862-2400
(870) 862-1891
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2006
Last updated
08/22/2020
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