Organization
WHITE RIVER HEALTH SYSTEM INC
Active
Other names
WHITE RIVER ORTHOPAEDIC SPORTS AND HAND SURGERY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA BAXTER (PROVIDER ENROLLMENT)
(870) 262-5545
Entity
Organization
Contact information
Practice address
2110 EAST MAIN, MOUNTAIN VIEW, AR 72560
(870) 269-8300
(870) 269-5630
Mailing address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 269-8300
(870) 269-5630
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
08/12/2011
Last updated
05/02/2024
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