Organization
FEET PLUS OF ARKANSAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY C BOSS (DIRECTOR, BILLING & CREDENTIALING)
(405) 747-6443
Entity
Organization
Contact information
Practice address
163 N MAESTRI RD, SPRINGDALE, AR 72762-9818
(479) 361-8004
Mailing address
1113 N LITTLE AVE, CUSHING, OK 74023-2033
(918) 225-1819
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
E6411
AR
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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