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NPI Code Detail

MEDICARE: PIONEER HEALTH SERVICES, PA

MEDICARE: PIONEER HEALTH SERVICES, PA
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1770306896
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIONEER HEALTH SERVICES, PA
Provider Business Mailing Address
First Line : 1661 AIRPORT RD STE D
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-8184
Country : US
Telephone Number : 501-625-7500
Fax Number : 501-625-7777
Provider Business Practice Location Address
First Line : 147 SECTION LINE RD STE N
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-6188
Country : US
Telephone Number : 501-701-4270
Fax Number : 501-330-8632
Authorized Official
Title or Position : PRESIDENT
Name : PETER W. GURESKY
Credential : MD
Telephone Number : 501-701-4270
Provider Enumeration Date : 11/06/2024
Last Update Date : 11/06/2024

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Directions to “PIONEER HEALTH SERVICES, PA ” Practice Location

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