NPI 1649564592 · live from the CMS NPI Registry
Gastroenterology Specialists Of Arkansas
Internal Medicine, Gastroenterology in Jonesboro, AR. National Provider Identifier 1649564592, active.
NPI record
| NPI | 1649564592 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 300 Carson St, Jonesboro, AR 72401 |
| Practice phone | 870-932-4462 |
| Enumerated | June 7, 2011 |
| Last updated | June 7, 2011 |
| Authorized official | Donovan Stockdale, Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | e2819 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.