Individual
JAMES HEAD
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
(501) 329-5697
Mailing address
550 CLUB LN, CONWAY, AR 72034-3681
(501) 329-1510
(501) 329-5697
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
27804
OK
207X00000X
Orthopaedic Surgery Physician
Primary
E9769
AR
207X00000X
Orthopaedic Surgery Physician
ME122841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
516822SSB
MEDICARE
AR
Enumeration date
06/11/2010
Last updated
09/30/2016
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