Mid South Retina Associates, LLC

NPI #1316973076 in Blytheville, Arkansas

Provider Information

NPI Number: 1316973076
Entity Type: Organization
Organization Name: Mid South Retina Associates, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MID-SOUTH RETINA ASSOCIATES, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Jun 24, 2006
Last Updated: Feb 28, 2023

Practice Location

Address: 529 N 10TH ST
City: Blytheville
State: Arkansas
ZIP Code: 72315-1974
Phone: (870) 762-1942

Authorized Official

Name: DR. RICHARD SIEVERS, M.D.
Title: PARTNER
Phone: (901) 682-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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