Organization
ACS PRIMARY CARE PHYSICIANS OF ARKANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL L. DABBS M.D. (PRESIDENT)
(865) 693-1000
Entity
Organization
Contact information
Practice address
1910 MALVERN AVENUE, HOT SPRINGS, AR 71901-7752
(501) 620-2720
Mailing address
P O BOX 634659, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F311
BLUE SHIELD OF ARKANSAS
AR
01
—
DD7598
RAILROAD MEDICARE
AR
Enumeration date
05/27/2006
Last updated
12/28/2007
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