Organization
ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.
Active
Parent organization
ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARKANSAS LIVER AND GASTROENTEROLOGY, P.A.
Authorized official
MRS. SARAH JESSICA-ELISE COLUCCINO (OFFICE MANAGER)
(479) 242-2888
Entity
Organization
Contact information
Practice address
1605 WEST MAIN STREET, RUSSELLVILLE, AR 72801
(479) 242-2888
(479) 242-2889
Mailing address
3416 OLD GREENWOOD RD, FORT SMITH, AR 72903-5462
(479) 242-2888
(479) 242-2889
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
AR
Other
Enumeration date
08/30/2016
Last updated
12/15/2017
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