# OZARK ORTHOPAEDICS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255164570
- **Authorized official:** TRACY DAVENPORT (COO)
- **Authorized official phone:** (479) 587-3149

## Contact information

- **Practice address:** 310 N PROGRESS AVE STE 30, SILOAM SPRINGS, AR 72761-4093
- **Practice address phone:** (479) 521-2752
- **Practice address fax:** (479) 521-4603
- **Mailing address:** 3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703-4056
- **Mailing address phone:** (479) 521-2752
- **Mailing address fax:** (479) 521-4603

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2024
- **Last updated:** 08/22/2024