Organization
SNELL PROSTHETIC & ORTHOTIC LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANT E. SNELL LOPA (COO)
(501) 664-2624
Entity
Organization
Contact information
Practice address
333 HIGHWAY 5 N, SUITE 4, MOUNTAIN HOME, AR 72653-3026
(870) 424-7010
(870) 424-6316
Mailing address
625 N UNIVERSITY AVE, LITTLE ROCK, AR 72205-2917
(501) 664-2624
(501) 664-1708
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
04734178001
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299148716
—
AR
Enumeration date
12/10/2005
Last updated
01/04/2024
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