Organization
PHYSICIANS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANCE SMITH M.D. (CEO)
(870) 762-1942
Entity
Organization
Contact information
Practice address
3327 S. DIVISION, BLYTHEVILLE, AR 72315
(870) 762-1942
(870) 763-0787
Mailing address
PO BOX 92, 3327 S. DIVISION, BLYTHEVILLE, AR 72316-0092
(870) 762-1942
(870) 763-0787
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR4222
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F369
AR BCBS
AR
Enumeration date
03/22/2007
Last updated
08/22/2020
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