South Ark Ear Nose &throat Clinic P A
South Ark Ear Nose &throat Clinic P A is an Allergy & Immunology Physician in Pine Bluff, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.
- Licensed in
- AR
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
1722 W 42nd AvePine Bluff, AR 71603-7008
Phone: (870) 535-5719
Fax: (870) 536-1963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence MC1312 (AR) |
|---|---|
| Allergy & Immunology Physician | Taxonomy 207K00000X · Licence MC1312 (AR) |
| Allergy Physician | Taxonomy 207KA0200X · Licence MC1312 (AR) |
| Audiologist | Taxonomy 231H00000X · Licence A#283 (AR) |
| Audiologist-Hearing Aid Fitter | Taxonomy 237600000X · Licence A#283 (AR) |
Record details
| NPI number | 1356317440 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Shorts — President · (870) 535-5719 |
| NPI enumerated | February 27, 2006 |
| Last updated in NPPES | April 30, 2019 |
| Mailing address | 1722 W 42nd Ave, Pine Bluff, AR 71603-7008 |
Other providers in Pine Bluff
-
Jerry Lynn Potts, MD
1408 W 43rd Ave, Pine Bluff, AR 71603-7010 · (870) 535-5719