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821 E Park Hwy 70 Carlilse AR 72024 | |
(501) 223-9948 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 821 E Park Hwy 70, Carlilse, Arkansas |
Authorized Official Name and Position | Nick J Paslidis (PROVIDER) |
Authorized Official Contact | 5012239948 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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375 El Camino Rd Sedona AZ 86336-5122 Ph: () - | 821 E Park Hwy 70 Carlilse AR 72024 Ph: (501) 223-9948 |
NPI Number | 1982737169 |
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Provider Enumeration Date | 03/14/2007 |
Last Update Date | 09/15/2020 |
Medicare PECOS PAC ID | 9234214008 |
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Medicare Enrollment ID | O20111109000268 |
Identifier | Type | State | Issuer |
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1982737169 | NPI | - | NPPES |
126382001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | E0216 (Arkansas) | Primary |
Provider Name | Nick J Paslidis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811955990 PECOS PAC ID: 0042204505 Enrollment ID: I20040408001295 |