Organization
WILLIAM E FOOTE, IV, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM E FOOTE IV (DENTIST)
(870) 853-4486
Entity
Organization
Contact information
Practice address
201 S CHERRY ST, HAMBURG, AR 71646-3205
(870) 853-4486
Mailing address
201 S CHERRY ST, HAMBURG, AR 71646-3205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3255
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134980608
—
AR
05
—
134981631
—
AR
Enumeration date
04/21/2007
Last updated
06/19/2008
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