Organization
DELTA SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER K.H. GO M.D. (MEDICAL DOCTOR)
(870) 382-1680
Entity
Organization
Contact information
Practice address
811 HIGHWAY 65 S, DUMAS, AR 71639-3006
(870) 382-4303
Mailing address
105 CARLTON DR, DUMAS, AR 71639-2836
(870) 382-1680
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102107001
—
AR
01
—
14161000001
QUAL CHOICE
AR
01
—
57660
BLUE CROSS
AR
Enumeration date
08/28/2009
Last updated
08/28/2009
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