DR. JOHN ALONZO FLOWERS, M.D. - NPI NUMBER 1578619177

Summary

Provider Name: DR. JOHN ALONZO FLOWERS, M.D.

NPI Number: 1578619177

Clasification: Pediatrics (2080A0000X)

Specialization: Adolescent Medicine

Address:
316 W 5TH AVE
PINE BLUFF, AR
ZIP 71601

Phone Number: (870) 534-1103



Detailed Information

DR. John Alonzo Flowers, M.D. is an adolescent pediatrician 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. The assigned NPI number for this provider is 1578619177 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

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

The enumeration date for this NPI number is 1/26/2007 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 2080A0000X Pediatrics Adolescent Medicine R-2462 AR Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 A36510 MEDICARE UPIN AR

NPI Record

No. Field Name Field Value
1 NPI 1578619177
2 Entity Type Code 1
3 Provider Last Name Legal Name FLOWERS
4 Provider First Name JOHN
5 Provider Middle Name ALONZO
6 Provider Name Prefix Text DR.
7 Provider Name Suffix Text SR.
8 Provider Credential Text M.D.
9 Provider First Line Business Practice Location Address 316 W 5TH AVE
10 Provider Business Practice Location Address City Name PINE BLUFF
11 Provider Business Practice Location Address State Name AR
12 Provider Business Practice Location Address Postal Code 716014214
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 8705341103
15 Provider Business Practice Location Address Fax Number 8705341819
16 Provider Enumeration Date 1/26/2007
17 Last Update Date 7/8/2007
18 Provider Gender Code M
19 Healthcare Provider Taxonomy Code 1 2080A0000X
20 Provider License Number 1 R-2462
21 Provider License Number State Code 1 AR
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Other Provider Identifier 1 A36510
24 Other Provider Identifier Type Code 1 02
25 Other Provider Identifier State 1 AR
26 Is Sole Proprietor Y

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This page was last updated on: 10/12/2014
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.