Medical Park Orthopaedic Clinic, P.a.

NPI #1336105063 in Batesville, Arkansas

Provider Information

NPI Number: 1336105063
Entity Type: Organization
Organization Name: Medical Park Orthopaedic Clinic, P.a.
Primary Specialty: Specialist
Enumeration Date: Apr 21, 2006
Last Updated: Jan 6, 2009

Practice Location

Address: 501 VIRGINIA DR
Address 2: SUITE C
City: Batesville
State: Arkansas
ZIP Code: 72501-7331
Phone: (870) 793-2371

Authorized Official

Name: JEFFERY DEOIN ANGEL, M.D.
Title: SECRETARY
Phone: (870) 793-2371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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