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INTERVENTIONAL AND DIAGNOSTIC RADIOLOGY OF SOUTH ARKANSAS P.A. NPI 1548599988


NPI Information

NPI: 1548599988
Provider Name: INTERVENTIONAL AND DIAGNOSTIC RADIOLOGY OF SOUTH ARKANSAS, P.A.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
700 W GROVE ST
EL DORADO, AR
ZIP 71730
Phone: (870) 862-1577
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INTERVENTIONAL AND DIAGNOSTIC RADIOLOGY OF SOUTH ARKANSAS, P.A. is a specialist in El Dorado, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INTERVENTIONAL AND DIAGNOSTIC RADIOLOGY OF SOUTH ARKANSAS, P.A. NPI is 1548599988. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 W GROVE ST
EL DORADO, AR
ZIP 71730-416
Phone: (870) 862-1577
Fax: (870) 862-5916

The provider's authorized official is Brenda Wilson .
The authorized official title is Business Manager and has the following contact phone number (870) 862-1577.

The enumeration date for this NPI number is 12/14/2009 and was last updated on 12/14/2009.


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
1174400000XSpecialistC5187ARKANSASYes

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
1D86190MEDICARE 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

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