N/a
NPI #1639561103 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1639561103
- Entity Type
- Organization
- Organization Name
- N/a
- Primary Specialty
- Psychiatric Unit
- Enumeration Date
- Feb 20, 2015
- Last Updated
- Feb 20, 2015
Practice Location
- Address
- 6814 PRINCETON PIKE
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71602-9411
- Phone
- (501) 353-3765
Authorized Official
- Name
- DR. SHAWN MICHAEL RICHARD, MD
- Title
- PHYSICIAN
- Phone
- (501) 803-3418
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Unit |
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