Urology Associates of South Arkansas

NPI #1780891309 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1780891309
Entity Type: Organization
Organization Name: Urology Associates of South Arkansas
Primary Specialty: Specialist
Enumeration Date: May 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1609 W 40TH AVE STE 301
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-6366
Phone: (870) 536-5162

Authorized Official

Name: MRS. LORIE CALDWELL
Title: BILLING
Phone: (870) 536-5162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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