Organization
ORTHOPAEDICS, PA
Active
Other names
River Valley Foot Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANEEN KUECK (ASSOCIATE ADMINISTRATOR)
(479) 709-6767
Entity
Organization
Contact information
Practice address
3501 WE KNIGHT DR, FORT SMITH, AR 72903-6248
(479) 709-6767
Mailing address
PO BOX 11230, FORT SMITH, AR 72917-1230
(479) 709-6700
(479) 709-6709
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140849748
—
AR
Enumeration date
08/26/2009
Last updated
08/26/2009
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