Organization
SOUTH ARKANSAS HEART & VASCULAR ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE DENEKE R.N. (OFFICE MANAGER)
(870) 536-3015
Entity
Organization
Contact information
Practice address
4201 S MULBERRY ST, PINE BLUFF, AR 71603-7016
(870) 536-3015
(870) 536-1691
Mailing address
PO BOX 2440, PINE BLUFF, AR 71613-2440
(870) 536-3015
(870) 536-1691
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MC0373
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN3547
RAILROAD MEDICARE
AR
Enumeration date
06/23/2006
Last updated
07/16/2007
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