Organization
SALINE PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY TITSWORTH (DIRECTOR PHYSICIAN SERVICES)
(501) 776-6093
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6096
Mailing address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6096
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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