Organization
MENA GENERAL SURGICAL SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER CASADY M.D. (OWNER)
(870) 289-5865
Entity
Organization
Contact information
Practice address
400 CRESTWOOD CIR STE K, MENA, AR 71953-5512
(479) 394-6600
(479) 394-3610
Mailing address
PO BOX 295, LOCKESBURG, AR 71846-0295
(870) 289-5865
(870) 289-6993
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E3204
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164013002
—
AR
Enumeration date
01/03/2007
Last updated
04/23/2008
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