Organization
PINE BLUFF RADIOLOGISTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A GOODWIN (BUSINESS MANAGER)
(870) 534-8651
Entity
Organization
Contact information
Practice address
1801 W 40TH AVE, SUITE 2C, PINE BLUFF, AR 71603-6900
(870) 534-8651
(870) 534-2827
Mailing address
1801 W 40TH AVE, SUITE 2C, PINE BLUFF, AR 71603-6900
(870) 534-8651
(870) 534-2827
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MC-0028
AR
Other
Enumeration date
08/16/2005
Last updated
09/24/2008
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