Pulaski Surgery Clinic Pa

LBN: Pulaski Surgery Clinic Pa
Pulaski Surgery Clinic Pa is an health care organization with primary practice located at 3401 Springhill Dr Suite 400, North Little Rock AR 72117-2924. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Pulaski Surgery Clinic Pa can be contacted via phone (501) 945-4422, or through Stair, John Michael via phone (501) 945-4422.

Contact Information

Primary practice address
3401 Springhill Dr Suite 400 North Little Rock AR 72117-2924
Phone: (501) 945-4422
Fax: (501) 945-4424
Website:
Map and Directions
Authorized official contact:
Name: Stair, John Michael Doctor of Medicine (MD)
Phone: (501) 945-4422

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0000000878 Arkansas

Profile Details

NPI number 1790756328
LBN Legal business name Pulaski Surgery Clinic Pa
DBA Doing business as
Authorized official Stair, John Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2006
Last updated Aug 13th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790756328 NPPES
Arkansas MEDICAID 111089102

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