Organization
ORTHOPAEDICS, P.A.
Active
Other names
River Valley Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD HICKMAN (ADMINISTRATOR)
(479) 709-7002
Entity
Organization
Contact information
Practice address
3501 W. E. KNIGHT DRIVE, FORT SMITH, AR 72917-1230
(479) 709-7000
(479) 709-7030
Mailing address
3501 W. E. KNIGHT DRIVE, P.O. BOX 11230, FORT SMITH, AR 72917-1230
(479) 709-7000
(479) 709-7030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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