| Organization Name: | SOUTHWEST ARKANSAS EAR, NOSE & THROAT CLINIC |
| NPI Number: | 1124216700 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN C. SKALESKI (OFFICE MANAGER) |
| Mailing Address: | 100 E 20th St Ste A Hope |
| State: | AR US |
| Postal Code: | 718018222 |
| Phone Number: | 8707226200 |
| Fax Number: | 8707222927 |
| NPI Enumeration Date: | 10/09/2007 |
| NPI Last Update Date: | 05/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 07/27/2010 |
| NPI Reactivation Date: | 05/13/2011 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YS0123X |
| License Number: | R2502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |