Orthopaedic Surgeon, P.a.

NPI 1255352027 - Specialist - 174400000X

NPI Details
NPI 1255352027
Enumeration Date 07/21/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TED TED
Position DOCTOR/OWNER
Phone (479) 968-3200
Fax
Practice Location
2504 W MAIN ST STE A
RUSSELLVILLE AR, 72801-2536, US
Phone (479) 968-3200
Fax
Business Location
PO BOX 9276
RUSSELLVILLE AR, 72811-9276, US
Phone (479) 968-3200
Fax
Toxanomy
Taxonomy Code 174400000X
License State Arkansas
License Number C4546
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According to our database, Orthopaedic Surgeon, P.a. NPI is 1255352027, taxonomy code is 174400000X and license number is C4546, license state is located at Arkansas. Orthopaedic Surgeon, P.a. physically located at 2504 W Main St Ste A, Russellville AR, 72801-2536. NPI Number 1033115704 has the healthcare provider type.

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1255352027 NPI number is provided on an as is basis without warranty of any kind. 1255352027 is maintained by the National Plan & Provider Enumeration System. The contents of Orthopaedic Surgeon, P.a. are for informational purposes only.