OZARK FOOT & ANKLE PLC NPI 1710256003

NPI Information

OZARK FOOT & ANKLE PLC is a foot and ankle surgery podiatrist in Fayetteville, AR. OZARK FOOT & ANKLE PLC NPI is 1710256003. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2828 E MILLENNIUM PL
SUITE 2
FAYETTEVILLE, AR
ZIP 72703-514
Phone: (479) 582-1199
Fax: (479) 582-1194

The provider's authorized official is James J Brantley .
The authorized official title is Managing Member and has the following contact phone number (479) 549-3835.

The enumeration date for this NPI number is 12/15/2011 and was last updated on 8/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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