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Organization
ARKANSAS FOOT CLINIC, PA
Active
Organization
ARKANSAS FOOT CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN G GOLD DPM (OWNER)
(501) 224-1501
Entity
Organization
Contact information
Practice address
1501 ALDERSGATE RD, LITTLE ROCK, AR 72205-6611
(501) 224-1501
(501) 376-7065
Mailing address
PO BOX 26508, LITTLE ROCK, AR 72221-6501
(501) 224-1501
(501) 376-7065
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
AR
332B00000X
Durable Medical Equipment & Medical Supplies
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119019748
—
AR
01
—
57258
BLUE ADVANTAGE
AR
01
—
CD4794
RR MEDICARE
—
Enumeration date
01/24/2006
Last updated
01/04/2019
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