Organization
ARKANSAS FOOT & ANKLE CLINIC, PA
Active
Other names
Bryant Foot & Ankle Clinic, South Arkansas Foot & Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P THRASH (DOCTOR)
(870) 535-4850
Entity
Organization
Contact information
Practice address
1801 W 40TH AVE, SUITE 4E, PINE BLUFF, AR 71603-6940
(870) 535-4850
(870) 535-3558
Mailing address
1801 W 40TH AVE, SUITE 4E, PINE BLUFF, AR 71603-6940
(870) 535-4850
(870) 535-3558
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
162
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130021717
—
AR
01
—
17389000000
QUAL CHOICE
AR
01
—
2720022
UNITED HEALTHCARE
AR
01
—
4249008
AETNA
AR
01
—
480021446
PALMETTO
AR
01
—
5T328
BLUE CROSS AND BLUE SHIELD
AR
Enumeration date
05/31/2011
Last updated
10/10/2024
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