| NPI | 1558521468 |
|---|---|
| Other Name | PINE BLUFF SURGICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J SUTHERLAND President 870-535-2716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AR E-5356) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |