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
- City
- Pine Bluff
- State
- Arkansas
- 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 - Endoscopy — Endoscopy |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Fawad H Walajahi, M.D. | |
| Jeffrey S Bryles, M.D. | |
| Lori E Cole, CRNA |
Organizations
| Provider Name | |
|---|---|
| Conway Endoscopy Center, Inc. | |
| Batesville Endoscopy Center, LLC |
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