Organization
MIDSOUTH MEDICINE & PSYCHIATRY CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A SALGUEIRO MD (PRESIDENT)
(901) 634-6999
Entity
Organization
Contact information
Practice address
208 N 5TH ST, BLYTHEVILLE, AR 72315-2712
(870) 763-2461
(870) 763-2466
Mailing address
PO BOX 305, BLYTHEVILLE, AR 72316-0305
(870) 763-2461
(870) 763-2466
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E1127
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132862001
—
AR
05
—
203956909
—
MO
Enumeration date
11/23/2009
Last updated
11/23/2009
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