Organization
PEDIATRIC ASSOCIATES OF JONESBORO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M REINHARD III M.D. (MEMEBER)
(870) 972-5437
Entity
Organization
Contact information
Practice address
1150 E MATTHEWS AVE, SUITE 101, JONESBORO, AR 72401-4314
(870) 972-5437
(870) 972-0104
Mailing address
1150 E MATTHEWS AVE, SUITE 101, JONESBORO, AR 72401-4314
(870) 972-5437
(870) 972-0104
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MC-2201
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C645
BLUE CROSS NUMBER
AR
Enumeration date
08/15/2005
Last updated
07/16/2007
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