NPI 1821321803

General Orthopaedics, PA

Organisation Orthopaedic Surgery Physician Mountain Home, AR

Practice location

Address: 310 Buttercup Dr STE a, Mountain Home, AR 72653-2932
Phone: (870) 424-3642
Fax: (870) 424-3712
Mailing address: PO Box 310, Mountain Home, AR 72654-0310

Authorised official

Name: Terry G Green
Title: Owner
Phone: (870) 424-3642

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence C4667 (AR)

Other Orthopaedic Surgery providers in Arkansas →

Registry record

NPI: 1821321803
Entity type: Organization
NPI issued: 9 Sep 2009
Record last updated: 9 Sep 2009

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.