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Organization

ARKANSAS CENTER FOR ARTHROSCOPY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER P DOUGHERTY DO (PRESIDENT)
(479) 273-1111
Entity
Organization

Contact information

Practice address
1504 SE 28TH ST, BENTONVILLE, AR 72712-3988
(479) 273-1111
(479) 273-1255
Mailing address
1504 SE 28TH ST, BENTONVILLE, AR 72712-3988
(479) 273-1111
(479) 273-1255

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1612771002
AR
Enumeration date
01/02/2007
Last updated
03/19/2012
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