NPI 1710256003
Ozark Foot & Ankle Plc
Practice location
- Address
- 2828 E Millennium Pl Suite 2, Fayetteville, AR 72703-6514
- Phone
- (479) 582-1199
- Fax
- (479) 582-1194
- Mailing address
- PO Box 8728, Fayetteville, AR 72703-0013
Authorised official
- Name
- James J Brantley
- Title
- Managing Member
- Phone
- (479) 549-3835
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1710256003
- Entity type
- Organization
- NPI issued
- 15 Dec 2011
- Record last updated
- 9 Aug 2013
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.