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Organization
FAMILY MEDICINE PODIATRY
Active
Organization
FAMILY MEDICINE PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W ROBINETTE DPM (OWNER)
(870) 534-8500
Entity
Organization
Contact information
Practice address
1801 W 40TH AVE, SUITE 6B, PINE BLUFF, AR 71603-6940
(870) 534-8500
(870) 535-0801
Mailing address
1801 W 40TH AVE, SUITE 6B, PINE BLUFF, AR 71603-6940
(870) 534-8500
(870) 535-0801
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
165
AR
213ES0131X
Foot Surgery Podiatrist
165
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136803748
—
AR
Enumeration date
12/18/2007
Last updated
10/24/2017
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