Organization
PODIATRY GROUP THE FOOT DOCTORS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWARD REINER D.P.M. (PRESIDENT)
(870) 931-3338
Entity
Organization
Contact information
Practice address
637 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 931-3338
(870) 935-9084
Mailing address
637 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 931-3338
(870) 935-9084
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118794748
—
AR
Enumeration date
06/10/2006
Last updated
12/29/2020
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