JEFFERSON HEART P.A. NPI 1164463253

NPI Information

JEFFERSON HEART, P.A. is a specialist in Pine Bluff, 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. JEFFERSON HEART, P.A. NPI is 1164463253. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1601 W 40TH AVE
SUITE 301
PINE BLUFF, AR
ZIP 71603-319
Phone: (870) 541-4285
Fax: (870) 541-4290

The provider's authorized official is Ayman Alshami .
The authorized official title is Attending Physician and has the following contact phone number (870) 541-4285.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 1/8/2008.

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:

Other Identifiers

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

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