Organization · Type 2 NPI
Sparks Regional Medical Center
Foot & Ankle Surgery Podiatrist · Fort Smith, AR
NPI number
1679784367
Active
Practice location
1500 Dodson Ave, Ste 290
Fort Smith, AR 72901-5182
Mailing address
PO Box 1824
Fort Smith, AR 72902-1824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 239 (AR) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1679784367
Sparks Regional Medical Center's National Provider Identifier is 1679784367, issued on May 24, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fort Smith, AR. The record was last updated on Nov 10, 2009.