| Organization Name: | PHYSICIANS DAY SURGERY CENTER |
| NPI Number: | 1023057916 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROLYN J BOWMAN (INSURANCE SUPERVISOR) |
| Mailing Address: | 2705 S Orlando St Pine Bluff |
| State: | AR US |
| Postal Code: | 716034718 |
| Phone Number: | 8705364100 |
| Fax Number: | 8705369020 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 10/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 739 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |