Organization
PHYSICIANS DAY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN J BOWMAN (INSURANCE SUPERVISOR)
(870) 536-4100
Entity
Organization
Contact information
Practice address
2705 S ORLANDO ST, PINE BLUFF, AR 71603-4718
(870) 536-4100
(870) 536-9020
Mailing address
2705 S ORLANDO ST, PINE BLUFF, AR 71603-4718
(870) 536-4100
(870) 536-9020
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
739
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113093128
—
AR
01
—
1588603351
NPI
AR
Enumeration date
06/06/2006
Last updated
10/17/2008
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