Individual
CHRISTINE ANNE MIRABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 W 40TH AVE STE 1B, PINE BLUFF, AR 71603-6956
(870) 541-6055
(870) 541-6056
Mailing address
PO BOX 2650, PINE BLUFF, AR 71613-2650
(870) 541-7211
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E-16437
AR
207Y00000X
Otolaryngology Physician
N0281
TX
Other
Enumeration date
02/17/2009
Last updated
09/06/2023
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