Organization
OZARK ORTHOPAEDICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY DAVENPORT (COO)
(479) 587-3149
Entity
Organization
Contact information
Practice address
310 N PROGRESS AVE STE 30, SILOAM SPRINGS, AR 72761-4093
(479) 521-2752
(479) 521-4603
Mailing address
3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703-4056
(479) 521-2752
(479) 521-4603
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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