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NPI Code Detail

MEDICARE: RICHARD C. PILLSBURY, MDPA

MEDICARE: RICHARD C. PILLSBURY, MDPA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology PhysicianR3001AR

General Provider Information

NPI Number : 1417954207
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARD C. PILLSBURY, MDPA
Provider Business Mailing Address
First Line : 613 THOMPSON AVE
Second Line :
City : EL DORADO
State : AR
Zip : 71730-4557
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 613 THOMPSON AVE
Second Line :
City : EL DORADO
State : AR
Zip : 71730-4557
Country : US
Telephone Number : 870-863-0010
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. RICHARD CURTIS PILLSBURY
Credential : MD
Telephone Number : 870-863-0010
Provider Enumeration Date : 07/07/2005
Last Update Date : 08/22/2020

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Directions to “RICHARD C. PILLSBURY, MDPA ” Practice Location

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