Organization
SPEARS PROSTHETICS AND ORTHOTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH B SPEARS (PRESIDENT/ CPO)
(501) 206-3500
Entity
Organization
Contact information
Practice address
2000 HIGHWAY 25B, SUITE C-1, HEBER SPRINGS, AR 72543-6417
(501) 206-3500
(501) 206-3505
Mailing address
PO BOX 770237, MEMPHIS, TN 38177-0237
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49849
BCBS
AR
Enumeration date
01/10/2008
Last updated
04/20/2008
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