NPI 1710214010

Cooper Clinic PA

Organisation Podiatrist Fort Smith, AR

Practice location

Address: 600 S 21st St, Fort Smith, AR 72901-3915
Phone: (479) 274-6750
Fax: (479) 434-5395
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 MC-0254 (AR)

Other Podiatrist providers in Arkansas →

Registry record

NPI: 1710214010
Entity type: Organization
NPI issued: 6 Nov 2009
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.