| Organization Name: | MEDICAL PARK ORTHOPAEDIC CLINIC, P.A. |
| NPI Number: | 1336105063 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFERY DEOIN ANGEL (SECRETARY) |
| Mailing Address: | 501 Virginia Dr Suite C Batesville |
| State: | AR US |
| Postal Code: | 725017331 |
| Phone Number: | 8707932371 |
| Fax Number: | 8707937585 |
| NPI Enumeration Date: | 04/21/2006 |
| NPI Last Update Date: | 01/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |