Organization
THE EL DORADO AR MULTISPECIALTY ASC LLC
Active
Other names
South Arkansas Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
2704 VINE STREET, EL DORADO, AR 71730
(870) 864-6696
Mailing address
2704 VINE STREET, EL DORADO, AR 71730
(870) 862-1636
(870) 862-2239
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168467128
—
AR
Enumeration date
12/08/2006
Last updated
01/06/2021
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