1699736777 EXECUTIVE PARK SURGERY CENTER, LLC
Ambulatory Surgical Clinic/Center
Active
Basic Information
- Organization Name
- EXECUTIVE PARK SURGERY CENTER, LLC
- Enumeration Date
- March 29, 2006
- Last Update
- December 16, 2010
- Authorized Official
- RANDY M ENNEN M.D.
PRESIDENT
Phone: (479) 424-2744
Practice Location
- Address
- 3314 S 70TH ST
FORT SMITH, AR 729035052 - Phone
- (479) 424-2744
- Fax
- (479) 424-2745
Mailing Address
- Address
- 3314 S 70TH ST
FORT SMITH, AR 729035052 - Phone
- (479) 424-2744
- Fax
- (479) 424-2745
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center Ambulatory Surgical | 261QA1903X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200041770A | 05 | OK | N/A |
| 155824128 | 05 | AR | N/A |
Frequently Asked Questions
What is EXECUTIVE PARK SURGERY CENTER, LLC's NPI number?
EXECUTIVE PARK SURGERY CENTER, LLC's NPI number is 1699736777.
Which doctor has NPI number 1699736777?
The doctor with NPI number 1699736777 is EXECUTIVE PARK SURGERY CENTER, LLC.
What is EXECUTIVE PARK SURGERY CENTER, LLC's practice address?
EXECUTIVE PARK SURGERY CENTER, LLC's practice address is 3314 S 70TH ST, FORT SMITH, AR, 729035052.
Which doctor practices at 3314 S 70TH ST, FORT SMITH, AR, 729035052?
EXECUTIVE PARK SURGERY CENTER, LLC practices at 3314 S 70TH ST, FORT SMITH, AR, 729035052.
What is EXECUTIVE PARK SURGERY CENTER, LLC's phone number?
EXECUTIVE PARK SURGERY CENTER, LLC's phone number is (479) 424-2744.
Who is (479) 424-2744?
(479) 424-2744 is the phone number for EXECUTIVE PARK SURGERY CENTER, LLC.
What is EXECUTIVE PARK SURGERY CENTER, LLC's specialty?
EXECUTIVE PARK SURGERY CENTER, LLC's specialty is Ambulatory Surgical Clinic/Center.
What type of doctor is EXECUTIVE PARK SURGERY CENTER, LLC?
EXECUTIVE PARK SURGERY CENTER, LLC is a Ambulatory Surgical Clinic/Center.
Is EXECUTIVE PARK SURGERY CENTER, LLC a Ambulatory Surgical?
Yes, EXECUTIVE PARK SURGERY CENTER, LLC is a Ambulatory Surgical.
Is EXECUTIVE PARK SURGERY CENTER, LLC still practicing?
Yes, EXECUTIVE PARK SURGERY CENTER, LLC is currently practicing.
Is EXECUTIVE PARK SURGERY CENTER, LLC accepting new patients?
EXECUTIVE PARK SURGERY CENTER, LLC may be accepting new patients. Please call their office at (479) 424-2744 to inquire about availability.
Is NPI 1699736777 still active?
Yes, NPI 1699736777 is currently active.
Where does EXECUTIVE PARK SURGERY CENTER, LLC practice?
EXECUTIVE PARK SURGERY CENTER, LLC practices in FORT SMITH, AR.