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Organization
ADVANCED ORTHOPAEDIC SPECIALISTS, PLC
Active
Organization
ADVANCED ORTHOPAEDIC SPECIALISTS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY J SITES MD (AO)
(479) 966-4187
Entity
Organization
Contact information
Practice address
1420 HIGHWAY 62 65 N STE A, HARRISON, AR 72601-1959
(870) 741-7443
(870) 741-7443
Mailing address
PO BOX 10648, FAYETTEVILLE, AR 72703-0046
(479) 966-4187
(479) 935-4064
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146105002
—
AR
01
—
RR13670
RAILROAD MEDICARE
AR
Enumeration date
06/06/2006
Last updated
03/17/2018
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