Organization
LON G. BITZER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LON G. BITZER MD (PRESIDENT)
(870) 534-3923
Entity
Organization
Contact information
Practice address
1801 W 40TH AVE STE 4C, PINE BLUFF, AR 71603-6961
(870) 534-6400
(870) 534-3441
Mailing address
1801 W 40TH AVE STE 4C, PINE BLUFF, AR 71603-6961
(870) 534-6400
(870) 534-3441
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
R4294
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119261001
—
AR
Enumeration date
12/23/2009
Last updated
12/23/2009
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