ARKANSAS FOOT ANKLE CLINIC PA PINE BLUFF, AR

Contact Information

ARKANSAS FOOT & ANKLE CLINIC, PA

1801 W 40TH AVE
SUITE 4E
PINE BLUFF, AR 71603-6940

Phone: 870-535-4850
Fax: 870-535-3558
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ARKANSAS FOOT ANKLE CLINIC PA · (Female)

NPI #	`1346534047`
Status	Active
Credentials
Entity	Individual
Enumeration date	05/31/2011
Last updated	10/10/2024 - More than a year ago
Sole proprietor ¹	Not specified
Identifiers	AR License # 162 AR Medicaid 130021717 AR Other 4249008 AETNA AR Other 5T328 BLUE CROSS AND BLUE SHIELD AR Other 480021446 PALMETTO AR Other 17389000000 QUAL CHOICE AR Other 2720022 UNITED HEALTHCARE
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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ARKANSAS FOOT ANKLE CLINIC PASurgery, Foot & Ankle

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for ARKANSAS FOOT ANKLE CLINIC PA · (Female)

Reviews for ARKANSAS FOOT & ANKLE CLINIC, PA

ARKANSAS FOOT ANKLE CLINIC PA
Surgery, Foot & Ankle