Organization Name: | SPRINGDALE FOOT SPECIALIST PA |
NPI Number: | 1871751198 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD R PINKERTON (PRESIDENT) |
Mailing Address: | 1213 S Thompson St Springdale |
State: | AR US |
Postal Code: | 727646313 |
Phone Number: | 4797513656 |
Fax Number: | 4797502221 |
NPI Enumeration Date: | 05/23/2008 |
NPI Last Update Date: | 06/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 69 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |