| Advanced O & P Techniques, Pa | |
|
705 Donaghey Ave Conway AR 72034-5107 | |
| (501) 548-6288 | |
| (501) 513-1890 |
| Full Name | Advanced O & P Techniques, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 705 Donaghey Ave, Conway, Arkansas |
| Authorized Official Name and Position | Havis Kent Rinehart (PRESIDENT) |
| Authorized Official Contact | 8705341900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced O & P Techniques, Pa 2425 W 28th Ave Pine Bluff AR 71603-5051 Ph: (870) 534-1900 | Advanced O & P Techniques, Pa 705 Donaghey Ave Conway AR 72034-5107 Ph: (501) 548-6288 |
| NPI Number | 1043455256 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 07/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043455256 | NPI | - | NPPES |
| 134833716 | Medicaid | AR | |
| 49568 | Other | AR | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 261Q00000X (Arkansas) | Primary |
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