Organization
GUY J L'HEUREUX MD PA
Active
Parent organization
CRITTENDEN HOSPITAL ASSOCIATION
Other names
Mid South Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRITTENDEN HOSPITAL ASSOCIATION
Authorized official
GUY J L'HEUREUX MD (PHYSICIAN)
(870) 735-4025
Entity
Organization
Contact information
Practice address
228 W TYLER AVE, STE 105, WEST MEMPHIS, AR 72301-4089
(870) 735-4025
(870) 735-0570
Mailing address
228 W TYLER AVE, STE 105, WEST MEMPHIS, AR 72301-4089
(870) 735-4025
(870) 735-0570
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R2758
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0145620001
PALMETTO
—
05
—
101978001
—
AR
01
—
14086000000
QUALCHOICE
AR
01
—
2582086
AETNA
—
Enumeration date
11/17/2005
Last updated
08/04/2008
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