Organization · Type 2 NPI
Orthopaedic Surgeon, P.a.
Specialist · Russellville, AR
NPI number
1255352027
Active
Practice location
2504 W Main St Ste A
Russellville, AR 72801-2536
Mailing address
PO Box 9276
Russellville, AR 72811-9276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | C4546 (AR) |
Specialist: 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.
2 other providers at this address
Other specialist providers in Russellville
About NPI 1255352027
Orthopaedic Surgeon, P.a.'s National Provider Identifier is 1255352027, issued on Jul 21, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Russellville, AR. The record was last updated on Aug 22, 2020.