Organization
SOUTH ARKANSAS ORTHOPAEDICS AND SPORTS MEDICINE CENTER PLLC
Active
Other names
South Arkansas Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHEY D JONES (OFFICE MANAGER)
(870) 862-1144
Entity
Organization
Contact information
Practice address
2700 VINE ST, EL DORADO, AR 71730-6700
(870) 862-1144
(870) 864-0782
Mailing address
PO BOX 10730, EL DORADO, AR 71730-0028
(870) 862-1144
(870) 864-0782
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141689002
—
AR
01
—
200031980
UNITED/RAILROAD MEDICARE
AR
01
—
200039405
UNITED/RAILROAD MEDICARE
AR
01
—
200039406
UNITED/RAILROAD MEDICARE
AR
Enumeration date
10/18/2005
Last updated
12/01/2008
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