Organization
NES ARKANSAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT MORRA (PRESIDENT/CEO)
(800) 377-8721
Entity
Organization
Contact information
Practice address
700 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-2200
Mailing address
PO BOX 403234, ATLANTA, GA 30384-3234
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C808
GROUP BCBS NUMBER
AR
Enumeration date
11/03/2005
Last updated
07/19/2007
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