NPI 1063768901

Cooper Clinic PA

Organisation Podiatrist Fort Smith, AR

Practice location

Address: 5004 S U St, Fort Smith, AR 72903-3600
Phone: (479) 274-6700
Fax: (479) 484-4768
Mailing address: PO Box 3528, Fort Smith, AR 72913-3528

Authorised official

Name: Curtis Ralston
Title: Ceo
Phone: (479) 274-2000

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 84 (AR)

Other Podiatrist providers in Arkansas →

Registry record

NPI: 1063768901
Entity type: Organization
NPI issued: 30 Jul 2012
Record last updated: 1 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.