South Ark Ear Nose &throat Clinic P a

NPI #1356317440 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1356317440
Entity Type: Organization
Organization Name: South Ark Ear Nose &throat Clinic P a
Primary Specialty: Otolaryngology
Enumeration Date: Feb 27, 2006
Last Updated: Apr 30, 2019

Practice Location

Address: 1722 W 42ND AVE
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-7008
Phone: (870) 535-5719

Authorized Official

Name: STEPHEN DONALD SHORTS, MD
Title: PRESIDENT
Phone: (870) 535-5719

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology - Allergy — Allergy	207KA0200X
Audiologist	231H00000X
Audiologist-Hearing Aid Fitter	237600000X
Allergy & Immunology	207K00000X
Otolaryngology	207Y00000X	Primary

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