South Ar Surgical Clinic of El Dorado, INC

NPI #1598978801 in El Dorado, Arkansas

Provider Information

NPI Number: 1598978801
Entity Type: Organization
Organization Name: South Ar Surgical Clinic of El Dorado, INC
Primary Specialty: Specialist
Enumeration Date: May 7, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 815 THOMPSON AVE
City: El Dorado
State: Arkansas
ZIP Code: 71730-4464
Phone: (870) 862-3411

Authorized Official

Name: FAY EVANS
Title: OFFICE MANAGER
Phone: (870) 862-3411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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