Organization
SOUTH ARKANSAS ENDOCRINOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHER ALESALI M.D. (OWNER)
(870) 879-9595
Entity
Organization
Contact information
Practice address
4747 DUSTY LAKE DR STE G2, PINE BLUFF, AR 71603-9056
(870) 879-9595
(870) 879-9599
Mailing address
PO BOX 926, PINE BLUFF, AR 71613-0926
(870) 879-9595
(870) 879-9599
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
E2897
AR
Other
Enumeration date
04/24/2006
Last updated
09/28/2007
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