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Organization

ARKANSAS FOOT CLINIC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLAN G GOLD DPM (OWNER)
(501) 224-1501
Entity
Organization

Contact information

Practice address
1501 ALDERSGATE RD, LITTLE ROCK, AR 72205-6611
(501) 224-1501
(501) 376-7065
Mailing address
PO BOX 26508, LITTLE ROCK, AR 72221-6501
(501) 224-1501
(501) 376-7065

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
AR
332B00000X
Durable Medical Equipment & Medical Supplies
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119019748
AR
01
57258
BLUE ADVANTAGE
AR
01
CD4794
RR MEDICARE
Enumeration date
01/24/2006
Last updated
01/04/2019
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