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Cisterna Emergency Physicians LLC

Emergency Medicine in Fort Smith, AR. Organization (NPI-2).

NPI number1306178371
StatusActive
Last updated in NPPESAug 20, 2019

Details

NPI
1306178371
Entity type
Organization (NPI-2)
Legal business name
Cisterna Emergency Physicians LLC
Organization subpart
No
Enumeration date
Feb 2, 2010
Last updated
Aug 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

1001 Towson Ave
Fort Smith, AR 72902

Phone 479-441-4000

Mailing address

18167 Us Highway 19 N
Suite 650
Dallas, TX 75240

Phone 954-838-2371

Authorized official

Kathleen Kondas
Officer
9548382371

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