Fort Smith Hma Pbc Management, LLC
Plastic Surgery in Fort Smith, AR. Organization (NPI-2).
NPI number1023398641
StatusActive
Last updated in NPPESNov 27, 2012
Details
- NPI
- 1023398641
- Entity type
- Organization (NPI-2)
- Legal business name
- Fort Smith Hma Pbc Management, LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 26, 2011
- Last updated
- Nov 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | – | – | Yes |
Other names
- Ft Smith Plastic Surgery Clinic (Doing Business As)
Practice location
9207 Highway 71 SCisterna Market Suite 9
Fort Smith, AR 72916-9117
Phone 479-709-7275 · Fax 479-709-7276
Mailing address
5811 Pelican Bay BlvdSuite 500
Naples, FL 34108-2733
Phone 239-598-3131 · Fax 239-592-0438
Authorized official
Michael L Gingras
Vice President
2395983131
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Other Plastic Surgery Physician providers in Fort Smith, AR
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