ARKANSAS BACK CLINIC NPI 1710018163

NPI Information

  • NPI: 1710018163
  • Provider Name: ARKANSAS BACK CLINIC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 600 PINE FOREST DR
    MAUMELLE, AR
    ZIP 72113
  • Phone: (501) 803-3311

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NPI Details

ARKANSAS BACK CLINIC is an orthopaedic surgery in Maumelle, AR. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ARKANSAS BACK CLINIC NPI is 1710018163. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 PINE FOREST DR
MAUMELLE, AR
ZIP 72113-910
Phone: (501) 803-3311

The provider's authorized official is Charles Schock .
The authorized official title is Owner and has the following contact phone number (501) 803-3311.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 8/22/2020.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryYes

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This page was last updated on: 11/21/2025

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