Organization
ORTHOARKANSAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI FOX (DIRECTOR OF OPERATIONS)
(501) 500-3500
Entity
Organization
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204
(501) 663-3647
(501) 666-9653
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204
(501) 663-3647
(501) 666-9653
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167816716
—
AR
Enumeration date
02/14/2008
Last updated
06/24/2021
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