Healthcare Provider Details

I. General information

NPI: 1528079407
Provider Name (Legal Business Name): THE ORTHOPAEDIC AND JOINT PRESERVATION CENTER OF ARKANSAS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 01/12/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 PARKVIEW DR
FAYETTEVILLE AR
72703
US

IV. Provider business mailing address

3900 N PARKVIEW DR
FAYETTEVILLE AR
72703-6398
US

V. Phone/Fax

Practice location:
  • Phone: 479-966-4187
  • Fax: 479-966-4197
Mailing address:
  • Phone: 479-966-4187
  • Fax: 479-966-4197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER ALLEN ARNOLD
Title or Position: OWNER
Credential: MD
Phone: 479-316-6618