Digestive Diseases Clinic Of Hot Springs | |
151 Mcgowan Ct Hot Springs AR 71913-6451 | |
(501) 625-7727 | |
(501) 625-7730 |
Full Name | Digestive Diseases Clinic Of Hot Springs |
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Speciality | Internal Medicine |
Location | 151 Mcgowan Ct, Hot Springs, Arkansas |
Authorized Official Name and Position | John Oliver Brandt (OWNER/PRESIDENT) |
Authorized Official Contact | 5016257727 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Digestive Diseases Clinic Of Hot Springs 151 Mcgowan Ct Hot Springs AR 71913-6451 Ph: (501) 625-7727 | Digestive Diseases Clinic Of Hot Springs 151 Mcgowan Ct Hot Springs AR 71913-6451 Ph: (501) 625-7727 |
NPI Number | 1053424689 |
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Provider Enumeration Date | 08/17/2006 |
Last Update Date | 12/04/2012 |
Medicare PECOS PAC ID | 8628007812 |
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Medicare Enrollment ID | O20050808001074 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053424689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | John O Brandt |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1558350900 PECOS PAC ID: 4587691050 Enrollment ID: I20050804000548 |
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