# ROBERT G BEBOUT MD

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

## Provider details

- **NPI number:** 1700183548
- **Authorized official:** DR. ROBERT G BEBOUT MD (MD)
- **Authorized official phone:** (479) 462-7803

## Contact information

- **Practice address:** 1804 RANNOCH TRCE, FORT SMITH, AR 72908-0971
- **Practice address phone:** (479) 462-7803
- **Practice address fax:** (888) 577-9955
- **Mailing address:** PO BOX 11684, FORT SMITH, AR 72917-1684
- **Mailing address phone:** (479) 462-7803
- **Mailing address fax:** (888) 577-9955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | E0645 | AR | Yes |

## Other

- **Enumeration date:** 02/14/2011
- **Last updated:** 02/14/2011