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NPI Code Detail

MEDICARE: DAVID W SUDBRINK MD

MEDICARE: DAVID W SUDBRINK 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
1207X00000XOrthopaedic Surgery PhysicianE-3251AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730118290
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID W SUDBRINK MD
Provider Business Mailing Address
First Line : 5401 ELLSWORTH ROAD
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-3219
Country : US
Telephone Number : 479-314-1101
Fax Number : 479-314-4704
Provider Business Practice Location Address
First Line : 3501 W.E. KNIGHT DRIVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-6248
Country : US
Telephone Number : 479-709-6700
Fax Number : 479-709-6768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 12/07/2012

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Directions to “ DAVID W SUDBRINK MD” Practice Location

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