NPI 1629030358 · live from the CMS NPI Registry
Digestive Care P A
Internal Medicine, Gastroenterology in Pine Bluff, AR. National Provider Identifier 1629030358, active.
NPI record
| NPI | 1629030358 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 4800 S Hazel St, Pine Bluff, AR 71603 |
| Practice phone | 870-534-5533 |
| Mailing address | Po Box 2797, Pine Bluff, AR 71613 |
| Enumerated | April 6, 2006 |
| Last updated | September 14, 2010 |
| Authorized official | Frances Stucks, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.