Provider Demographics
NPI:1619533692
Name:ARKANSAS FOOT & ANKLE SPECIALISTS
Entity Type:Organization
Organization Name:ARKANSAS FOOT & ANKLE SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:TEUFEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:870-974-1914
Mailing Address - Street 1:5913 S 66TH ST
Mailing Address - Street 2:
Mailing Address - City:CAVE SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72718-8448
Mailing Address - Country:US
Mailing Address - Phone:479-935-3378
Mailing Address - Fax:
Practice Address - Street 1:1794 E JOYCE BLVD STE 2
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5257
Practice Address - Country:US
Practice Address - Phone:870-974-1914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty