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Organization

JEFFERSON HOSPITAL ASSN, INC.

Active
Other names
Surgical Associates of Southeast Arkansas
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA M WALKER (CBO DIRECTOR PRACTICE MANAGEMENT)
(870) 541-5981
Entity
Organization

Contact information

Practice address
1609 W 40TH AVE, SUITE 403, PINE BLUFF, AR 71603-6319
(870) 541-5981
(870) 541-8769
Mailing address
PO BOX 2320, PINE BLUFF, AR 71613-2320
(870) 541-4981
(870) 541-8769

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
09/21/2012
Last updated
12/17/2013
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