Organization
SNELL PROSTHETIC & ORTHOTIC LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANT E. SNELL LOPA (COO)
(501) 664-2624
Entity
Organization
Contact information
Practice address
2915 DAVE WARD DR STE 11, CONWAY, AR 72034-9375
(501) 548-6288
(501) 513-1890
Mailing address
2915 DAVE WARD DR STE 11, CONWAY, AR 72034-9375
(501) 548-6288
(501) 513-1890
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299159716
—
AR
Enumeration date
11/27/2012
Last updated
01/04/2024
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