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Organization

ORTHOPAEDIC SURGEON, P.A.

Active
Other names
ORTHOPAEDIC CLINIC & SPORTS MEDICINE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TED HONGHIRAN M.D. (DOCTOR/OWNER)
(479) 968-3200
Entity
Organization

Contact information

Practice address
2504 W MAIN ST STE A, RUSSELLVILLE, AR 72801-2536
(479) 968-3200
Mailing address
PO BOX 9276, RUSSELLVILLE, AR 72811-9276
(479) 968-3200

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C4546
AR

Other

Enumeration date
07/21/2006
Last updated
08/22/2020
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