Organization
REEL FAMILY FOOT CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CARROLL REEL DPM (DPM)
(479) 880-2600
Entity
Organization
Contact information
Practice address
201 E PARKWAY DR, RUSSELLVILLE, AR 72801-3913
(479) 880-2600
(479) 880-8076
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(479) 968-4273
(479) 968-1363
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
215
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159972748
—
AR
Enumeration date
06/13/2006
Last updated
08/18/2009
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