Organization Name: | SOUTH ARKANSAS HEART & VASCULAR ASSOCIATES, P.A. |
NPI Number: | 1295761419 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUE DENEKE (OFFICE MANAGER) |
Mailing Address: | 4201 S Mulberry St Pine Bluff |
State: | AR US |
Postal Code: | 716037016 |
Phone Number: | 8705363015 |
Fax Number: | 8705361691 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 07/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MC0373 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |