| Organization Name: | OZARK FOOT & ANKLE PLC |
| NPI Number: | 1376820167 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES JAY BRANTLEY (MANAGING MEMBER) |
| Mailing Address: | 500 S Mount Olive St Suite 201 Siloam Springs |
| State: | AR US |
| Postal Code: | 727613602 |
| Phone Number: | 4795493835 |
| Fax Number: | 4795494146 |
| NPI Enumeration Date: | 11/08/2011 |
| NPI Last Update Date: | 08/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 152 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |