NPI | 1649210584 |
---|---|
Doing Business As | OZARK ORTHOPAEDIC AND SPORTS MEDICINE |
Former Legal Business Name | ORTHOPAEDIC CLINIC, LTD. |
Entity Type | Organization |
Authorized Contact | TRACY DAVENPORT Chief Operating Officer 479-587-3149 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR MC-0077) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
208100000X Physical Medicine & Rehabilitation | |
261QU0200X Clinic/Center, Urgent Care | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-06-08 |
Last Update Date | 2023-04-27 |