St. Edward Mercy Clinic, Inc.

NPI #1730486556 in Fort Smith, Arkansas

Provider Information

NPI Number: 1730486556
Entity Type: Organization
Organization Name: St. Edward Mercy Clinic, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Feb 14, 2011
Last Updated: Dec 2, 2011

Practice Location

Address: 3501 WE KNIGHT DRIVE
City: Fort Smith
State: Arkansas
ZIP Code: 72903-6248
Phone: (479) 709-6700

Authorized Official

Name: DR. RAYMOND COLE GOODMAN JR., M.D.
Title: PRESIDENT
Phone: (479) 314-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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