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Organization

SOUTH ARK EAR NOSE & THROAT CLINIC P A

Active
Other names
SOUTH ARKANSAS SURGERY CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN DONALD SHORTS MD (PRESIDENT)
(870) 535-5177
Entity
Organization

Contact information

Practice address
4310 S MULBERRY ST, PINE BLUFF, AR 71603-7030
(870) 535-5177
(870) 535-7878
Mailing address
4310 S MULBERRY ST, PINE BLUFF, AR 71603-7030
(870) 535-5177
(870) 535-7878

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
850
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117713128
AR
Enumeration date
02/27/2006
Last updated
08/21/2008
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