Organization
PHYSICIAN'S DAY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN J BOWMAN (INSURANCE SUPERVISOR)
(870) 536-4100
Entity
Organization
Contact information
Practice address
17200 CHENAL PKWY STE 440, LITTLE ROCK, AR 72223-5970
(870) 536-4100
(870) 536-9020
Mailing address
2705 S ORLANDO ST, PINE BLUFF, AR 71603-4718
(870) 536-4100
(870) 536-9020
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR4179
AR
Other
Enumeration date
06/06/2006
Last updated
06/29/2010
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