NPI 1871738161

Mena Surgical Clinic

Organisation Surgery Physician Mena, AR

Practice location

Address: 400 Crestwood Cir STE L, Mena, AR 71953-5512
Phone: (479) 243-2103
Fax: (479) 243-2468
Mailing address: PO Box 1325, Mena, AR 71953-1325

Authorised official

Name: Jay Quebedeaux
Title: Ceo
Phone: (479) 394-6100

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence E0207 (AR)

Other Surgery providers in Arkansas →

Registry record

NPI: 1871738161
Entity type: Organization
NPI issued: 16 Dec 2008
Record last updated: 27 Oct 2016

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.