Individual
KIMITAKA SAITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 NEWSOME DR, MARKED TREE, AR 72365-2021
(870) 358-4355
(870) 358-4357
Mailing address
PO BOX 616, MARKED TREE, AR 72365-0616
(870) 358-4355
(870) 358-4357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-2736
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17411000000
QUALCHOICE
—
01
—
54639
ARBCBS
AR
01
—
7052174
AETNA
—
01
—
710852165-001
PRUDENTIAL
—
Enumeration date
06/03/2006
Last updated
09/28/2007
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