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Central Arkansas Spine Specialist

NPI #1205280138 in Benton, Arkansas

Provider Information

NPI Number
1205280138
Entity Type
Organization
Organization Name
Central Arkansas Spine Specialist
Subpart
Yes (part of a larger organization)
Parent Organization
SALINE PHYSICIAN SERVICES
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 18, 2016
Last Updated
Apr 18, 2016

Practice Location

Address
5 MEDICAL PARK DR
Address 2
STE 308
City
Benton
State
Arkansas
ZIP Code
72015-3729
Phone
(501) 776-6545

Authorized Official

Name
ANNA KIPP
Title
ADMINISTRATOR
Phone
(501) 776-6039

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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