Organization
ORTHOARKANSAS SPINE INSTITUTE PROCEDURE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI FOX (ADMINISTRATOR)
(501) 900-9797
Entity
Organization
Contact information
Practice address
800 FAIR PARK BLVD STE 300, LITTLE ROCK, AR 72204-1720
(501) 813-5621
(501) 500-4880
Mailing address
800 FAIR PARK BLVD STE 300, LITTLE ROCK, AR 72204-1720
(501) 813-5621
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
09/14/2022
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