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FLOWERS PEDIATRAIC CLINIC NPI 1164604930


NPI Information

NPI: 1164604930
Provider Name: FLOWERS PEDIATRAIC CLINIC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
316 W 5TH AVE
PINE BLUFF, AR
ZIP 71601
Phone: (870) 534-1103
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FLOWERS PEDIATRAIC CLINIC is an adolescent medicine pediatrics in Pine Bluff, AR. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. FLOWERS PEDIATRAIC CLINIC NPI is 1164604930. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

316 W 5TH AVE
PINE BLUFF, AR
ZIP 71601-214
Phone: (870) 534-1103
Fax: (870) 534-1819

The provider's authorized official is John Alonzo Flowers .
The authorized official title is Pediatrician and has the following contact phone number (870) 534-1103.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 12/3/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineR-2462ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A36510MEDICARE UPINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.