University of Arkansas Medical Sciences, Ahec Pine Bluff
University of Arkansas Medical Sciences, Ahec Pine Bluff is an Emergency Care Clinic/Center in Pine Bluff, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.
- Licensed in
- AR
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
4747 Dusty Lake Dr Ste 203Pine Bluff, AR 71603-8742
Phone: (870) 541-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Emergency Care Clinic/Center | Taxonomy 261QE0002X · Licence E5801 (AR) |
| Primary Care Clinic/Center | Taxonomy 261QP2300X · Licence E5801 (AR) |
Record details
| NPI number | 1881776987 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Kittell — Physician · (870) 541-6000 |
| NPI enumerated | October 19, 2006 |
| Last updated in NPPES | August 30, 2010 |
| Mailing address | 12 Sezanne Cv, Little Rock, AR 72223-5093 |