EXECUTIVE PARK SURGERY CENTER, LLC

FORT SMITH, AR
NPI1699736777
Entity TypeOrganization
Authorized ContactRANDY M ENNEN
President
479-424-2744
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2006-03-29
Last Update Date2010-12-16
Business Address
EXECUTIVE PARK SURGERY CENTER, LLC
3314 S 70TH ST
FORT SMITH, AR 72903-5052
Phone number: 479-424-2744
Mailing Address
EXECUTIVE PARK SURGERY CENTER, LLC
3314 S 70TH ST
FORT SMITH, AR 72903-5052
Phone number: 479-424-2744
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