Organization
CYGNET SCHROEDER DO PA
Active
Other names
CYGNET SCHROEDER DO PA
Organization subpart
No
Provider details
NPI number
Authorized official
CYGNET ANN SCHROEDER DO (PRESIDENT)
(479) 478-8555
Entity
Organization
Contact information
Practice address
1401 S J ST, FORT SMITH, AR 72901-5158
(479) 478-8555
(479) 478-8568
Mailing address
PO BOX 3363, FORT SMITH, AR 72913-3363
(479) 478-8555
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
R4158
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149716002
—
AR
01
—
250014112
MEDICARE RAIL ROAD
—
Enumeration date
08/13/2006
Last updated
04/15/2013
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