Organization
ORTHOPAEDIC & SPORTS MEDICINE CLINIC OF NORTHWEST ARKANSAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH RICCIARDI M.D. (VICE PRESIDENT)
(870) 423-3774
Entity
Organization
Contact information
Practice address
408 ORCHARD DR, BERRYVILLE, AR 72616-4320
(870) 423-3774
(870) 423-4670
Mailing address
408 ORCHARD DR, BERRYVILLE, AR 72616-4320
(870) 423-3774
(870) 423-4670
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/08/2006
Last updated
03/27/2008
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