Organization
DIGESTIVE CARE P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANCES STUCKS (ADMINISTRATOR)
(870) 534-5533
Entity
Organization
Contact information
Practice address
4800 S HAZEL ST, PINE BLUFF, AR 71603-6860
(870) 534-5533
(870) 534-5535
Mailing address
PO BOX 2797, PINE BLUFF, AR 71613-2797
(870) 534-5533
(870) 534-5535
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12162000000
QUAL CHOICE
—
05
—
129049002
—
AR
01
—
2920027
UNITED HEALTHCARE
—
01
—
4600296
AETNA
—
01
—
5B793
BLUE CROSS BLUE SHIELD
AR
01
—
DG3779
RAILROAD MEDICARE
AR
Enumeration date
04/06/2006
Last updated
09/14/2010
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