Organization
MONTICELLO SURGICAL ASSOCIATES,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY WAYNE COLLINS MD (OWNER)
(870) 367-3922
Entity
Organization
Contact information
Practice address
750 HL ROSS DRIVE, MONTICELLO, AR 71655-5705
(870) 367-3922
(870) 367-6413
Mailing address
PO BOX 125, MONTICELLO, AR 71657-0125
(870) 367-3922
(870) 367-6413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E5311
AR
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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