# JOHNSON REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnson Regional Medical Center Orthopedic Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639557226
- **Authorized official:** EDWARD ANDERSON (AUTHORIZED OFFICAL)
- **Authorized official phone:** (479) 754-5405

## Contact information

- **Practice address:** 1 MEDICINE DR, CLARKSVILLE, AR 72830-4431
- **Practice address phone:** (479) 754-5405
- **Practice address fax:** (479) 754-4441
- **Mailing address:** 1 MEDICINE DR, CLARKSVILLE, AR 72830-4431
- **Mailing address phone:** (479) 754-5405
- **Mailing address fax:** (479) 754-4441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2015
- **Last updated:** 07/22/2015