Organization
ARKANSAS LIVER AND GASTROENTEROLOGY, PA
Active
Other names
The Liver Care Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH JESSICA-ELISE COLUCCINO (OFFICE MANAGER)
(479) 242-2888
Entity
Organization
Contact information
Practice address
2347 NORTH THOMPKINS AVE, BETHANY, OK 73008
(479) 242-2888
(479) 242-2889
Mailing address
3416 OLD GREENWOOD ROAD, FORT SMITH, AR 72903
(479) 242-2888
(479) 242-2889
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006036301A
—
OK
05
—
21089002
—
AR
Enumeration date
02/27/2018
Last updated
02/27/2018
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