# OZARK FOOT & ANKLE PLC

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

## Provider details

- **NPI number:** 1710256003
- **Authorized official:** JAMES J BRANTLEY DPM (MANAGING MEMBER)
- **Authorized official phone:** (479) 549-3835

## Contact information

- **Practice address:** 2828 E MILLENNIUM PL, SUITE 2, FAYETTEVILLE, AR 72703-6514
- **Practice address phone:** (479) 582-1199
- **Practice address fax:** (479) 582-1194
- **Mailing address:** PO BOX 8728, FAYETTEVILLE, AR 72703-0013
- **Mailing address phone:** (479) 549-3835
- **Mailing address fax:** (479) 549-4146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2011
- **Last updated:** 08/09/2013
