Organization
ARKANSAS LIVER AND GASTROENTEROLOGY PA
Active
Organization
ARKANSAS LIVER AND GASTROENTEROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH JESSICA-ELISE COLUCCINO (OFFICE MANAGER)
(479) 242-2888
Entity
Organization
Contact information
Practice address
3416 OLD GREENWOOD RD, FORT SMITH, AR 72903-5462
(479) 242-2888
Mailing address
3416 OLD GREENWOOD RD, FORT SMITH, AR 72903-5462
(352) 871-0992
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
E-7210
AR
Other
Enumeration date
05/06/2015
Last updated
12/14/2017
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