Organization
LITTLE ROCK SPINE & JOINT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE V. KIZZIRE (OFFICE MANAGER)
(479) 785-0612
Entity
Organization
Contact information
Practice address
1401 SOUTH J. STREET, FORT SMITH, AR 72901-5158
(479) 785-0612
(479) 785-8598
Mailing address
1401 SOUTH J. STREET, FORT SMITH, AR 72901-5158
(479) 785-0612
(479) 785-8598
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
C8478
AR
Other
Enumeration date
08/31/2006
Last updated
01/08/2016
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