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EAR, NOSE & THROAT ASSOCIATES OF MOUNTAIN HOME, PA

Physicians Otolaryngology Pediatric Otolaryngology

Provider NPI: 1790784734

Organization Information:
Organization Name:  EAR, NOSE & THROAT ASSOCIATES OF MOUNTAIN HOME, PA
Organization is not Subpart
Authorized Official:  MONTY  BARKER  PRESIDENT  870-424-4200

Practice Location:
626 BURNETT DR  MOUNTAIN HOME, AR 72653-2941 US
Tel: 870-424-4200  Fax: 870-424-4327

Business Mailing Address:
626 BURNETT DR  MOUNTAIN HOME, AR 72653-2941 US
Tel: 870-424-4200  Fax: 870-424-4327

NPI Information:
NPI: 1790784734
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207YP0228XPhysicians
Otolaryngology
Pediatric Otolaryngology
AR
N207YS0123XPhysicians
Otolaryngology
AR
N207YX0007XPhysicians
Otolaryngology
AR
N207YX0602XPhysicians
Otolaryngology
AR
N207YX0901XPhysicians
Otolaryngology
AR
N207YX0905XPhysicians
Otolaryngology
AR
N231H00000XSpeech, Language and Hearing Service Providers
Audiologist
AR
Y207Y00000XPhysicians
Otolaryngology
AR

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD5B115AR01
RAILROAD MEDICARECI873001



American Medical Association 2012 taxonomy code information

Code: 207Y00000X

Type:

Classification:



Definition:



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