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Organization

NES ARKANSAS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VINCENT MORRA (PRESIDENT & CEO)
(800) 377-8721
Entity
Organization

Contact information

Practice address
620 NORTH WILLOW STREET, HARRISON, AR 72601-2994
(870) 365-2000
Mailing address
PO BOX 403234, ATLANTA, GA 30384-3234
(800) 377-8721
(304) 523-2241

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5C809
BCBS
AR
Enumeration date
10/02/2006
Last updated
09/07/2007
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