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Contact Information

ADVANCED FOOT AND ANKLE CLINICS PA
903 SE 22ND ST
STE 1
BENTONVILLE, AR72712-4196
 Phone: 479-271-5353
 Fax: 479-254-0698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED FOOT AND ANKLE CLINICS PA

NPI # 1114047438
LBN Legal business name ADVANCED FOOT AND ANKLE CLINICS PA
Authorized official STEPHEN PIROTTA - (PODIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2007
Last updated 01/17/2013 - About 13 years ago
Identifiers
AR License # 133
AR Medicaid 129008748
AR Other 129007717 MEDICAID
AR Other 480033075 RR MCR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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