Organization
REGIONAL ORTHOPAEDIC HEALTH CARE
Active
Other names
Twin Lakes Orthopaedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL B. RAULS MD (AUTHORIZED OFFICIAL)
(870) 424-3400
Entity
Organization
Contact information
Practice address
3 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 424-3400
(870) 424-4121
Mailing address
3 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 424-3400
(870) 424-4121
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138975002
—
AR
01
—
5B111
BCBS
AR
01
—
CG0920
RR MEDICARE
AR
Enumeration date
07/30/2006
Last updated
09/09/2024
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