Organization
PHYSICIANS SURGICAL CENTER OF THE OZARKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETE ROSS (COO VP OF OPERATIONS)
(870) 425-6212
Entity
Organization
Contact information
Practice address
17 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 425-6212
Mailing address
17 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 425-6212
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR4346
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609987361
BC/BS
AR
05
—
168468128
—
AR
Enumeration date
08/31/2006
Last updated
11/19/2008
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