# POWELL ORTHOPEDICS, PA

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

## Provider details

- **NPI number:** 1598095069
- **Authorized official:** DR. MARK WILSON POWELL MD (PRESIDENT)
- **Authorized official phone:** (479) 582-4647

## Contact information

- **Practice address:** 1450 E ZION RD STE 6&10, FAYETTEVILLE, AR 72703-5041
- **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 | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2010
- **Last updated:** 08/06/2025