| |
49 Highway 62 412, Ash Flat, AR 72513-9594 | |
(870) 994-7301 | |
(870) 994-7488 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 49 Highway 62 412, Ash Flat, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770067589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: (708) 561-2028 | 49 Highway 62 412, Ash Flat, AR 72513-9594 Ph: (870) 994-7301 |