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STEPHEN DONALD SHORTS MD

Allergy and Immunology

Pine Bluff, Arkansas

Provider NPI: 1992771174

Provider Information:
 STEPHEN DONALD SHORTS MD


Practice Location:
1722 W 42ND AVE  PINE BLUFF, AR 71603 US
Tel: 870-535-5719  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Y00000XPhysicians
Otolaryngology
ARR3276
N231H00000XSpeech, Language and Hearing Service Providers
Audiologist
ARR3276
N207K00000XPhysicians
Allergy & Immunology
ARR3276
N207KA0200XPhysicians
Allergy & Immunology
ARR3276

Other Provider Identifiers:

IssuerNumberStateType
ARKANSAS BLUE CROSS BLUE SHIELD54826AR01
103062001AR05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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