Blue Sea Medical Corporation

NPI #1508113309 in Jacksonville, Arkansas

Provider Information

NPI Number: 1508113309
Entity Type: Organization
Organization Name: Blue Sea Medical Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Aug 10, 2012
Last Updated: Jul 16, 2014

Practice Location

Address: 1401 BRADEN ST
City: Jacksonville
State: Arkansas
ZIP Code: 72076-3720
Phone: (501) 985-2537

Authorized Official

Name: DR. SYED AYUB MAZHER, MD
Title: MEDICAL DIRECTOR
Phone: (501) 256-7520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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