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Orthopaedic Surgeon, P.a.
Specialist in Russellville, Arkansas
NPI 1255352027

Orthopaedic Surgeon, P.a. is a Specialist based in Russellville, AR. Orthopaedic Surgeon, P.a. practices in Russellville, AR. The NPI Number for Orthopaedic Surgeon, P.a. is 1255352027 and holds a License No. C4546 (Arkansas).

The current practice location address for Orthopaedic Surgeon, P.a. is 2504 W Main St Ste A, Russellville, AR and can be reached out via phone at 479-968-3200.

Location: 2504 W Main St Ste A, Russellville, AR, 72811-9276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255352027
Provider Name
Orthopaedic Surgeon, P.a.
Credential
Provider Entity Type
Organization
Address
2504 W Main St Ste A, Russellville, AR, 72811-9276
Phone Number
479-968-3200
Fax Number
Provider Enumeration Date
07/21/2006
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
2504 W Main St Ste A
City
Russellville
State
Arkansas
Zip
72801-2536
Phone Number
479-968-3200
Fax Number
person
Provider Business Mailing Address Details
Address
2504 W Main St Ste A
City
Russellville
State
Arkansas
Zip
72801-2536
Phone Number
479-968-3200
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C4546 (Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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