Benjamin Waters Theisen, DO - Little Rock, AR

Benjamin Waters Theisen, DO

Student in an Organized Health Care Education/Training Program in Little Rock, Arkansas

NPI 1235718529

Benjamin Waters Theisen is a Student in an Organized Health Care Education/Training Program based in Brookland, AR. Benjamin Waters Theisen practices in Little Rock, AR and has the professional credentials of DO. The NPI Number for Benjamin Waters Theisen is 1235718529 and holds a License No. (Arkansas).

The current practice location address for Benjamin Waters Theisen is 1 Childrens Way # 512-19A, Little Rock, AR and can be reached out via phone at 501-364-1874.

Location: 1 Childrens Way # 512-19A, Little Rock, AR, 72417-9024

NPI Number

1235718529

Provider Name

Benjamin Waters Theisen

Credential

Provider Entity Type

Individual

Gender

Male

Address

1 Childrens Way # 512-19A, Little Rock, AR, 72417-9024

Phone Number

501-364-1874

Fax Number

Provider Enumeration Date

04/05/2021

Last Update Date

03/10/2024

Address

1 Childrens Way # 512-19A

City

Little Rock

State

Arkansas

Zip

72202-3500

Phone Number

501-364-1874

Fax Number

Address

1 Childrens Way # 512-19A

City

Little Rock

State

Arkansas

Zip

72202-3500

Phone Number

501-364-1874

Fax Number

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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