Organization
SOUTHWEST ARKANSAS EAR, NOSE & THROAT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C. SKALESKI (OFFICE MANAGER)
(870) 722-6200
Entity
Organization
Contact information
Practice address
100 E 20TH ST STE A, HOPE, AR 71801-8222
(870) 722-6200
(870) 722-2927
Mailing address
100 E 20TH ST STE A, HOPE, AR 71801-8222
(870) 722-6200
(870) 722-2927
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
R2502
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106113001
—
AR
01
—
55795
BLUE CROSS BLUE SHIELD
AR
Enumeration date
10/09/2007
Last updated
05/13/2011
Update your record
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