Organization
ORTHOARKANSAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI FOX (DIRECTOR OF OPERATIONS)
(501) 500-3500
Entity
Organization
Contact information
Practice address
3480 LANDERS RD, NORTH LITTLE ROCK, AR 72117-2541
(501) 978-3135
(501) 978-3138
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204
(501) 978-2623
(501) 978-2630
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167817716
—
AR
Enumeration date
02/12/2008
Last updated
06/24/2021
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