# ARKANSAS SURGICAL HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arkansas Surgical Hospital Orthopedic Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417439944
- **Authorized official:** CHRISTOPHER BRIAN FOWLER (CEO)
- **Authorized official phone:** (501) 748-8089

## Contact information

- **Practice address:** 800 EXCHANGE AVE STE 102B, CONWAY, AR 72032-7833
- **Practice address phone:** (501) 504-6994
- **Practice address fax:** (501) 504-6985
- **Mailing address:** 5201 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5312
- **Mailing address phone:** (501) 748-8089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/31/2018
- **Last updated:** 09/14/2023
