# SALINE PHYSICIAN SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881969772
- **Authorized official:** KIMBERLY TITSWORTH (DIRECTOR PHYSICIAN SERVICES)
- **Authorized official phone:** (501) 776-6093

## Contact information

- **Practice address:** 1 MEDICAL PARK DR, BENTON, AR 72015-3353
- **Practice address phone:** (501) 776-6096
- **Mailing address:** 1 MEDICAL PARK DR, BENTON, AR 72015-3353
- **Mailing address phone:** (501) 776-6096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2012
- **Last updated:** 03/12/2012