Organization
PHYSICIAN'S SLEEP INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN SUE FRIGON MD (PRESIDENT)
(870) 535-4800
Entity
Organization
Contact information
Practice address
4747 DUSTY LAKE RD., SUITE 204, PINE BLUFF, AR 71603
(870) 879-6571
(870) 879-6572
Mailing address
1801 W 40TH, SUITE 5B, PINE BLUFF, AR 71603
(870) 535-4800
(870) 535-4804
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49855
BCBS
AR
01
—
P00136400
PALMETTO GBA
AR
01
—
P00136400
PALMETTO, GBA
—
Enumeration date
04/24/2007
Last updated
08/05/2010
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