NPI 1023005550

Jefferson Anesthesiology Associates

Organisation Anesthesiology Physician Pine Bluff, AR

Practice location

Address: 1801 W 40th Ave Suite 2b, Pine Bluff, AR 71603-6900
Phone: (870) 535-7457
Mailing address: PO Box 1272, Pine Bluff, AR 71613-1272

Authorised official

Name: Ferdinand K Samuel
Title: Administrator/Partner
Phone: (870) 535-7457

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Other Anesthesiology providers in Arkansas →

Registry record

NPI: 1023005550
Entity type: Organization
NPI issued: 30 Sep 2005
Record last updated: 13 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.