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Organization

ORTHOPAEDIC & SPORTS MEDICINE CLINIC OF NORTHWEST ARKANSAS, P.A.

Active
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Organization

ORTHOPAEDIC & SPORTS MEDICINE CLINIC OF NORTHWEST ARKANSAS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH RICCIARDI M.D. (VICE PRESIDENT)
(870) 423-3774
Entity
Organization

Contact information

Practice address
408 ORCHARD DR, BERRYVILLE, AR 72616-4320
(870) 423-3774
(870) 423-4670
Mailing address
408 ORCHARD DR, BERRYVILLE, AR 72616-4320
(870) 423-3774
(870) 423-4670

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—

Other

Enumeration date
03/08/2006
Last updated
03/27/2008
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