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Organization
JOHNSON REGIONAL MEDICAL CENTER
Active
Organization
JOHNSON REGIONAL MEDICAL CENTER
Active
Other names
JOHNSON REGIONAL ORTHOPEDIC CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L MORSE (ADMINISTRATOR)
(479) 754-5454
Entity
Organization
Contact information
Practice address
1 MEDICINE DR, CLARKSVILLE, AR 72830-4431
(479) 754-5454
(479) 754-5361
Mailing address
1 MEDICINE DR, CLARKSVILLE, AR 72830-4431
(479) 754-5454
(479) 754-5361
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
—
181734002
—
AR
01
—
5G210
BCBS
AR
Enumeration date
11/25/2009
Last updated
06/29/2010
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