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Individual

AUSTIN AXLEY COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 CLUB LN, CONWAY, AR 72034-3681
(501) 329-1510
Mailing address
5760 GRAND TETON LN, CONWAY, AR 72034-7623
(864) 867-8111

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
94-11281
KS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
E-18048
AR

Other

Enumeration date
06/22/2018
Last updated
07/23/2024
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