Organization
SPARKS REGIONAL MEDICAL CENTER
Active
Other names
SMF Foot & Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA FRIDDLE (SPARKS PROVIDER RELATIONS MANAGER)
(479) 709-7057
Entity
Organization
Contact information
Practice address
1500 DODSON AVE, STE 290, FORT SMITH, AR 72901-5182
(479) 709-7399
Mailing address
PO BOX 1824, FORT SMITH, AR 72902-1824
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
239
AR
332B00000X
Durable Medical Equipment & Medical Supplies
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200116230A
—
OK
Enumeration date
05/24/2007
Last updated
11/10/2009
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