Saline Physician Services, LLC

NPI #1508195645 in Benton, Arkansas

Provider Information

NPI Number: 1508195645
Entity Type: Organization
Organization Name: Saline Physician Services, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SALINE PHYSICIAN SERVICES, LLC
Primary Specialty: Anesthesiology
Enumeration Date: Dec 21, 2009
Last Updated: Jan 28, 2011

Practice Location

Address: 1 MEDICAL PARK DR
City: Benton
State: Arkansas
ZIP Code: 72015-3353
Phone: (501) 776-6381

Authorized Official

Name: KIM A TITSWORTH
Title: DIRECTOR, PHYSICIAN SERVICES
Phone: (501) 776-6093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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