MEDICARE: JOE P ALBERTY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1104006048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOE P ALBERTY MD

Provider Business Mailing Address
First Line	:	7303 ROGERS AVE
Second Line	:	SUITE 418
City	:	FORT SMITH
State	:	AR
Zip	:	72903-4165
Country	:	US
Telephone Number	:	479-452-3500
Fax Number	:	479-452-4113

Provider Business Practice Location Address
First Line	:	7303 ROGERS
Second Line	:	SUITE 418
City	:	FORT SMITH
State	:	AR
Zip	:	72903-4104
Country	:	US
Telephone Number	:	479-452-3500
Fax Number	:	479-452-4113

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOE P ALBERTY
Credential	:	MD
Telephone Number	:	479-452-3500

Provider Enumeration Date	:	11/08/2007
Last Update Date	:	11/08/2007

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