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Zachary Wilde Orvin
Student in an Organized Health Care Education/Training Program in Conway, Arkansas
NPI 1043947112

Zachary Wilde Orvin is a Student in an Organized Health Care Education/Training Program based in Conway, AR. Zachary Wilde Orvin practices in Conway, AR. The NPI Number for Zachary Wilde Orvin is 1043947112 and holds a License No. (Arkansas).

The current practice location address for Zachary Wilde Orvin is 125 Center St, Conway, AR and can be reached out via phone at 501-450-6693.

Location: 125 Center St, Conway, AR, 72032-8873
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043947112
Provider Name
Zachary Wilde Orvin
Credential
Provider Entity Type
Individual
Gender
Male
Address
125 Center St, Conway, AR, 72032-8873
Phone Number
501-450-6693
Fax Number
Provider Enumeration Date
08/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 Center St
City
Conway
State
Arkansas
Zip
72034-6462
Phone Number
501-450-6693
Fax Number
person
Provider Business Mailing Address Details
Address
125 Center St
City
Conway
State
Arkansas
Zip
72034-6462
Phone Number
501-450-6693
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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