| |
3065 Highway 367 S, Suite 11, Cabot, AR 72023-8660 | |
(501) 941-3797 | |
(501) 941-7760 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 3065 Highway 367 S, Cabot, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811280894 | NPI | - | NPPES |
145589748 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 164 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
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3065 Highway 367 S, Suite 11, Cabot, AR 72023-8660 Ph: (501) 941-3797 | 3065 Highway 367 S, Suite 11, Cabot, AR 72023-8660 Ph: (501) 941-3797 |