Sparks Regional Medical Center
Podiatrist, Foot & Ankle Surgery in Fort Smith, AR. Organization (NPI-2).
NPI number1679784367
StatusActive
Last updated in NPPESNov 10, 2009
Details
- NPI
- 1679784367
- Entity type
- Organization (NPI-2)
- Legal business name
- Sparks Regional Medical Center
- Organization subpart
- No
- Enumeration date
- May 24, 2007
- Last updated
- Nov 10, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 239 | AR | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | AR |
Other names
- Smf Foot & Ankle (Doing Business As)
Practice location
1500 Dodson AveSte 290
Fort Smith, AR 72901-5182
Phone 479-709-7399
Mailing address
Po Box 1824Fort Smith, AR 72902-1824
Phone 479-709-7399 · Fax 479-709-7053
Authorized official
Rebecca Friddle
Sparks Provider Relations Manager
4797097057
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All 7 Foot & Ankle Surgery Podiatrist providers in Fort Smith · All 3,840 providers in Fort Smith
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