Organization
OTOLARYNGOLOGY AND FACIAL SURGERY CENTER OF NORTHEAST ARK PA
Active
Parent organization
OTOLARYNGOLOGOY AND FACIAL SURGERY CENTER OF NORTHEAST ARK PA
Other names
OFSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OTOLARYNGOLOGOY AND FACIAL SURGERY CENTER OF NORTHEAST ARK PA
Authorized official
ROSIE YOUNG (OFFICE MANAGER)
(870) 931-7648
Entity
Organization
Contact information
Practice address
621 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 932-6799
Mailing address
621 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 932-6799
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
AR
237600000X
Audiologist-Hearing Aid Fitter
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199654720
—
AR
Enumeration date
03/28/2014
Last updated
03/28/2014
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