GASTROENTEROLOGY ASSOCIATES OF SOUTHEAST ARKANSAS P.A. NPI 1346289709

NPI Information

GASTROENTEROLOGY ASSOCIATES OF SOUTHEAST ARKANSAS, P.A. is a medical specialty clinic center in Pine Bluff, AR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GASTROENTEROLOGY ASSOCIATES OF SOUTHEAST ARKANSAS, P.A. NPI is 1346289709. The provider is registered as an organization entity type.

The provider's business location address is:

1609 W 40TH AVE
SUITE 312
PINE BLUFF, AR
ZIP 71603-329
Phone: (870) 534-3344
Fax: (870) 534-3517

The provider's authorized official is O T Gordon .
The authorized official title is President and has the following contact phone number (870) 534-3344.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 3/24/2008.

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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