Organization
GAZENKO SURGICAL SERVICES, PLLC
Active
Other names
Gazenko Surgical & Cosmetics Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATE GAZENKO MD (OWNER)
(513) 806-6770
Entity
Organization
Contact information
Practice address
1010 W MAIN ST, CLARKSVILLE, AR 72830-3417
(479) 705-2310
(479) 705-2300
Mailing address
1010 W MAIN ST, CLARKSVILLE, AR 72830-3417
(479) 705-2310
(479) 705-2300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210971001
—
AR
Enumeration date
01/28/2021
Last updated
01/28/2021
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