Organization
OZARK FOOT & ANKLE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JAY BRANTLEY DPM (MANAGING MEMBER)
14795821199
Entity
Organization
Contact information
Practice address
24 NORRIS ST, EUREKA SPRINGS, AR 72632-3541
(479) 582-1199
(479) 582-1194
Mailing address
PO BOX 8728, FAYETTEVILLE, AR 72703-0013
(479) 582-1199
(479) 582-1194
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811005690
SECRETARY OF STATE-DEPARTMENT OF CORPORATIONS.
AR
Enumeration date
05/06/2014
Last updated
05/06/2014
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