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Organization

JOHNSON REGIONAL MEDICAL CENTER

Active
Other names
JOHNSON REGIONAL ORTHOPEDIC CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT L MORSE (ADMINISTRATOR)
(479) 754-5454
Entity
Organization

Contact information

Practice address
1 MEDICINE DR, CLARKSVILLE, AR 72830-4431
(479) 754-5454
(479) 754-5361
Mailing address
1 MEDICINE DR, CLARKSVILLE, AR 72830-4431
(479) 754-5454
(479) 754-5361

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181734002
AR
01
5G210
BCBS
AR
Enumeration date
11/25/2009
Last updated
06/29/2010
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