Pine Bluff Surgical Clinic, INC

NPI #1821148586 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1821148586
Entity Type: Organization
Organization Name: Pine Bluff Surgical Clinic, INC
Primary Specialty: Specialist
Enumeration Date: Jan 12, 2007
Last Updated: Apr 29, 2009

Practice Location

Address: 316 W 6TH AVE
City: Pine Bluff
State: Arkansas
ZIP Code: 71601-4217
Phone: (870) 850-6053

Authorized Official

Name: DR. GEORGE VAIDEN ROBERSON, M.D.
Title: PRESIDENT
Phone: (870) 850-6053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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