Gregg L Massanelli Mdpa

NPI #1740751981 in El Dorado, Arkansas

Provider Information

NPI Number: 1740751981
Entity Type: Organization
Organization Name: Gregg L Massanelli Mdpa
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 2700 VINE ST
City: El Dorado
State: Arkansas
ZIP Code: 71730-6700
Phone: (870) 862-1144

Authorized Official

Name: GREGG L MASSANELLI, MD
Title: PHYSICIAN
Phone: (870) 862-1144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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