Organization
OZARK SURGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARIE SMITH CCS, CPC, CPMA, CGSC (CODING & BILLING MANAGER)
(870) 425-9120
Entity
Organization
Contact information
Practice address
901 BURNETT DR, MOUNTAIN HOME, AR 72653-2908
(870) 425-9120
Mailing address
901 BURNETT DR, MOUNTAIN HOME, AR 72653-2908
(870) 425-9120
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101039002
—
AR
Enumeration date
08/01/2006
Last updated
04/28/2022
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