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Organization

PULASKI SURGERY CLINIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN MICHAEL STAIR MD (PRESIDENT)
(501) 945-4422
Entity
Organization

Contact information

Practice address
3401 SPRINGHILL DR, SUITE 400, NORTH LITTLE ROCK, AR 72117-2924
(501) 945-4422
(501) 945-4424
Mailing address
3401 SPRINGHILL DR, SUITE 400, NORTH LITTLE ROCK, AR 72117-2924
(501) 945-4422
(501) 945-4424

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0000000878
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111089102
AR
Enumeration date
01/31/2006
Last updated
08/13/2013
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