Organization
CENTRAL ARKANSAS SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN C. ROMAN MD (BOARD CHAIR)
(501) 664-4532
Entity
Organization
Contact information
Practice address
151 EAST ASPEN LN, RUSSELLVILLE, AR 72802
(479) 967-1117
(479) 967-0089
Mailing address
151 E ASPEN LN, RUSSELLVILLE, AR 72802-8903
(479) 967-1117
(479) 967-0089
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
05/22/2020
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