Organization
CROTTY FOOT CLINIC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA M SEARS (BUSINESS MANAGER)
(479) 452-6555
Entity
Organization
Contact information
Practice address
6600 ROGERS AVE, FORT SMITH, AR 72903-4064
(479) 452-6555
(479) 452-3894
Mailing address
6600 ROGERS AVE, FORT SMITH, AR 72903-4064
(479) 452-6555
(479) 452-3894
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57925
MEDICARE GROUP
AR
Enumeration date
08/03/2006
Last updated
01/15/2008
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