# SALINE ORTHOPEDIC GROUP P A

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ARKANSAS BONE & JOINT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093825002
- **Authorized official:** JERRY J LORIO (PHYSICIAN)
- **Authorized official phone:** (501) 315-0984

## Contact information

- **Practice address:** 2010 ACTIVE WAY, BENTON, AR 72022-9267
- **Practice address phone:** (501) 315-0984
- **Practice address fax:** (501) 847-1405
- **Mailing address:** PO BOX 3250, BENTON, AR 72018-3250
- **Mailing address phone:** (501) 315-0984
- **Mailing address fax:** (501) 847-1405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 12/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 105470002 | — | AR |