| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 12/04/2012 |
| Medicare PECOS PAC ID | 8628007812 |
|---|---|
| Medicare Enrollment ID | O20050808001074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053424689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | John O Brandt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558350900 PECOS PAC ID: 4587691050 Enrollment ID: I20050804000548 |
| Provider Name | Jody Ann Purifoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023108693 PECOS PAC ID: 2365471489 Enrollment ID: I20050809000989 |
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