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Organization
PHYSICIANS SURGICAL CENTER OF THE OZARKS
Active
Organization
PHYSICIANS SURGICAL CENTER OF THE OZARKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETE ROSS (COO VP OF OPERATIONS)
(870) 425-6212
Entity
Organization
Contact information
Practice address
17 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 425-6212
Mailing address
17 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 425-6212
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR4346
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609987361
BC/BS
AR
05
—
168468128
—
AR
Enumeration date
08/31/2006
Last updated
11/19/2008
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