Pine Bluff Endoscopy Center, LLC

NPI #1275541427 in Pine Bluff, Arkansas

Provider Information

NPI Number
1275541427
Entity Type
Organization
Organization Name
Pine Bluff Endoscopy Center, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
GASTROENTEROLOGY ASSOCIATES OF SOUTHEAST ARKANSAS
Primary Specialty
Clinic/Center - Endoscopy
Enumeration Date
Aug 4, 2006
Last Updated
Nov 25, 2013

Practice Location

Address
1609 W 40TH AVE
Address 2
SUITE 312
ZIP Code
71603-6319
Phone
(870) 534-2626

Authorized Official

Name
O.T. GORDON JR., M.D.
Title
MANAGING MEMBER
Phone
(870) 534-3344

Specialties & Taxonomy Codes

Specialty
Clinic/Center - EndoscopyEndoscopy

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