Jefferson Heart, P.a.

NPI #1164463253 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1164463253
Entity Type: Organization
Organization Name: Jefferson Heart, P.a.
Primary Specialty: Specialist
Enumeration Date: Jun 9, 2006
Last Updated: Jan 8, 2008

Practice Location

Address: 1601 W 40TH AVE
Address 2: SUITE 301
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-6319
Phone: (870) 541-4285

Authorized Official

Name: DR. AYMAN ALSHAMI, M.D.
Title: ATTENDING PHYSICIAN
Phone: (870) 541-4285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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