Individual
MARY MARGARET MINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2918 LOUIS SESSIONS ST, LAKE VILLAGE, AR 71653-6049
(870) 265-5343
(870) 265-5686
Mailing address
2918 LOUIS SESSIONS ST, LAKE VILLAGE, AR 71653-6049
(870) 265-5343
(870) 265-5686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
P-T1015
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619286150
NPI
AR
05
—
191339795
—
AR
01
—
57428P278
BCBS AR
AR
01
—
P-T1015
STATE LICENSE
AR
Enumeration date
10/01/2010
Last updated
09/27/2024
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