Organization
PLASTIC SURGERY ASSOCIATES OF NORTHEAST ARKANSAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE L. HIERS M.D. (OWNER)
(870) 935-0861
Entity
Organization
Contact information
Practice address
1003 WINDOVER RD, JONESBORO, AR 72401-6007
(870) 935-0861
(870) 972-5241
Mailing address
1003 WINDOVER RD, JONESBORO, AR 72401-6007
(870) 935-0861
(870) 972-5241
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R3542
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118638002
—
AR
01
—
5B105
BCBS CLINIC PROVIDER
AR
Enumeration date
12/20/2006
Last updated
10/14/2010
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