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NPI Code Detail

MEDICARE: WILLIAM C. GO JR. MD,PA

MEDICARE: WILLIAM C. GO JR. MD,PA
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 Physician

General Provider Information

NPI Number : 1861484008
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAM C. GO JR. MD,PA
Provider Business Mailing Address
First Line : 1003 FRED LAGRONE DR
Second Line :
City : CROSSETT
State : AR
Zip : 71635-4546
Country : US
Telephone Number : 870-364-1570
Fax Number : 870-364-4171
Provider Business Practice Location Address
First Line : 1003 FRED LAGRONE DR
Second Line :
City : CROSSETT
State : AR
Zip : 71635-4546
Country : US
Telephone Number : 870-364-1570
Fax Number : 870-364-4171
Authorized Official
Title or Position : CLINIC DIRECTOR
Name : MRS. SANDY RICE
Credential :
Telephone Number : 870-364-1570
Provider Enumeration Date : 08/15/2005
Last Update Date : 08/22/2020

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