Premier Pediatrics Pllc

LBN: Premier Pediatrics Pllc
Premier Pediatrics Pllc is an health care organization with primary practice located at 5901 Riley Park Drive Suite B, Fort Smith AR 72916. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Premier Pediatrics Pllc can be contacted via phone (479) 763-3050, or through Pollard, Staci via phone (479) 763-3050.

Contact Information

Primary practice address
5901 Riley Park Drive Suite B Fort Smith AR 72916
Phone: (479) 763-3050
Fax: (479) 763-3281
Website:
Map and Directions
Authorized official contact:
Name: Pollard, Staci
Phone: (479) 763-3050

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1588121065
LBN Legal business name Premier Pediatrics Pllc
DBA Doing business as
Authorized official Pollard, Staci
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2019
Last updated Jul 2nd, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588121065 NPPES
Arkansas Other E-6232 ARKANSAS MEDICAL LICENSE

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