Organization
OB-GYN ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY FRASURE (OFFICE MANAGER)
(870) 935-3990
Entity
Organization
Contact information
Practice address
800 S CHURCH ST, SUITE 302, JONESBORO, AR 72401-4176
(870) 935-3990
(870) 935-0871
Mailing address
800 S CHURCH ST, SUITE 302, JONESBORO, AR 72401-4176
(870) 935-3990
(870) 935-0871
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101710002
—
AR
01
—
770099102
EDS BREASTCARE
AR
01
—
CE7125
RAILROAD MEDICARE
AR
Enumeration date
01/26/2006
Last updated
05/22/2008
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