Organization
VAFA FERDOWSIAN DPM, P.A.
Active
Other names
Foot and Ankle Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
VAFA N FERDOWSIAN DPM (OWNER)
(501) 327-3668
Entity
Organization
Contact information
Practice address
1713 W MAIN ST, RUSSELLVILLE, AR 72801-2721
(800) 539-1911
(501) 327-3664
Mailing address
PO BOX 10607, CONWAY, AR 72034-0010
(501) 327-3668
(501) 327-3664
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163819748
—
AR
Enumeration date
03/04/2019
Last updated
03/04/2019
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