Healthcare Provider Details

I. General information

NPI: 1144284852
Provider Name (Legal Business Name): HOT SPRINGS BONE & JOINT CLINIC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MERCY LN SUITE 404
HOT SPRINGS AR
71913-6442
US

IV. Provider business mailing address

1 MERCY LN SUITE 404
HOT SPRINGS AR
71913-6442
US

V. Phone/Fax

Practice location:
  • Phone: 501-321-1026
  • Fax: 501-623-1021
Mailing address:
  • Phone: 501-321-1026
  • Fax: 501-623-1021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRUCE L SMITH JR.
Title or Position: OFFICE MANAGER
Credential:
Phone: 501-321-1026