Organization
UNIVERSITY OF ARKANSAS AT PINE BLUFF
Active
Other names
UAPB Sports Medicine and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
T.C. SHELTON (HEAD ATHLETICS TRAINER)
(870) 575-7230
Entity
Organization
Contact information
Practice address
1200 UNIVERSITY DR, PINE BLUFF, AR 71601-2780
(870) 575-7230
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
(800) 555-9073
(972) 367-3452
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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