| James Trice M.d.p.a. | |
|
7005 S Hazel St Pine Bluff AR 71603-7833 | |
| (870) 536-3070 | |
| (870) 536-3171 |
| Full Name | James Trice M.d.p.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7005 S Hazel St, Pine Bluff, Arkansas |
| Authorized Official Name and Position | James Trice (PRESIDENT) |
| Authorized Official Contact | 8705363070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Trice M.d.p.a. Po Box 25306 Little Rock AR 72221-5306 Ph: (870) 536-3070 | James Trice M.d.p.a. 7005 S Hazel St Pine Bluff AR 71603-7833 Ph: (870) 536-3070 |
| NPI Number | 1184632275 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4385633007 |
|---|---|
| Medicare Enrollment ID | O20040508000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184632275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | C-7759 (Arkansas) | Primary |
| Provider Name | James Trice |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174531255 PECOS PAC ID: 3779572490 Enrollment ID: I20040508000087 |
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