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NPI Code Detail

MEDICARE: SOUTH ARKANSAS EMERGENCY PHYSICIANS, LLP

MEDICARE: SOUTH ARKANSAS EMERGENCY PHYSICIANS, LLP
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
1208M00000XHospitalist Physician
2363A00000XPhysician Assistant
3363L00000XNurse Practitioner
4207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1225452055
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH ARKANSAS EMERGENCY PHYSICIANS, LLP
Provider Business Mailing Address
First Line : 200 CORPORATE BLVD
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-3870
Country : US
Telephone Number : 8-939-6988
Fax Number :
Provider Business Practice Location Address
First Line : 603 N PROGRESS AVE
Second Line :
City : SILOAM SPRINGS
State : AR
Zip : 72761-4352
Country : US
Telephone Number : 479-524-4141
Fax Number :
Authorized Official
Title or Position : LLP MANAGING PARTNER
Name : DAVID S SCHILLINGER
Credential :
Telephone Number : 337-609-1221
Provider Enumeration Date : 02/14/2014
Last Update Date : 07/13/2021

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