Organization
PULASKI CARE INC
Active
Other names
medical associates
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB K PETERS MD (PRESIDENT)
(870) 619-1657
Entity
Organization
Contact information
Practice address
4201 S MULBERRY ST, PINE BLUFF, AR 71603-7016
(870) 619-1657
(501) 421-6845
Mailing address
4912B FOUNTAIN AVE, SUITE 40, LOS ANGELES, CA 90029-1502
(870) 619-1657
(501) 421-6845
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
04D0465285
AR
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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