Healthcare Provider Details

I. General information

NPI: 1285130286
Provider Name (Legal Business Name): MCFARLAND ANESTHESIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2018
Last Update Date: 03/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3805 W 28TH AVE
PINE BLUFF AR
71603-4774
US

IV. Provider business mailing address

3805 W 28TH AVE
PINE BLUFF AR
71603-4774
US

V. Phone/Fax

Practice location:
  • Phone: 870-536-4100
  • Fax: 501-534-3982
Mailing address:
  • Phone: 870-536-4100
  • Fax: 501-534-3982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL S MCFARLAND
Title or Position: OWNER
Credential: M.D.
Phone: 870-536-4100