Organization
SCOTT HUSTED MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN CHEATHAM (MANAGER)
(901) 755-7001
Entity
Organization
Contact information
Practice address
10TH AND HIGHLAND STREET, BLYTHEVILLE, AR 72315
(870) 838-7300
Mailing address
PO BOX 312, BLYTHEVILLE, AR 72316-0312
(870) 838-7300
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MC0872
AR
Other
Enumeration date
05/04/2007
Last updated
04/28/2009
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