# POWELL ORTHOPEDICS, PA

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

## Provider details

- **NPI number:** 1588876791
- **Authorized official:** DR. MARK W POWELL M.D. (OWNER)
- **Authorized official phone:** (479) 582-4647

## Contact information

- **Practice address:** 3714 N BUSINESS DR STE 101, FAYETTEVILLE, AR 72703-5289
- **Practice address phone:** (479) 582-4647
- **Practice address fax:** (479) 582-4660
- **Mailing address:** PO BOX 9688, FAYETTEVILLE, AR 72703-0030
- **Mailing address phone:** (479) 582-4647
- **Mailing address fax:** (479) 582-4660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | E1304 | AR | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 01/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 136406002 | — | AR |