Organization
ADVANCED O&P TECHNIQUES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAVIS KENT RHINEHART CP, BOC, C.PED., FAA (PRESIDENT)
(870) 534-1900
Entity
Organization
Contact information
Practice address
2425 W 28TH AVE, PINE BLUFF, AR 71603-5051
(870) 534-1900
(870) 534-3187
Mailing address
2425 W 28TH AVE, PINE BLUFF, AR 71603-5051
(870) 534-1900
(870) 534-3187
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49568
BCBS
AR
Enumeration date
03/23/2007
Last updated
11/13/2007
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