person
Bryce Thomas Lord
Student in an Organized Health Care Education/Training Program in Fort Smith, Arkansas
NPI 1346989563

Bryce Thomas Lord is a Student in an Organized Health Care Education/Training Program based in Fort Smith, AR. Bryce Thomas Lord practices in Fort Smith, AR. The NPI Number for Bryce Thomas Lord is 1346989563 and holds a License No. 602AH0340 (Arkansas).

The current practice location address for Bryce Thomas Lord is 7000 Chad Colley Blvd, Fort Smith, AR and can be reached out via phone at 479-308-2243 and via fax at 478-431-5387.

Location: 7000 Chad Colley Blvd, Fort Smith, AR, 72916-6024
person
Provider Profile Details
NPI Number
1346989563
Provider Name
Bryce Thomas Lord
Credential
Provider Entity Type
Individual
Gender
Male
Address
7000 Chad Colley Blvd, Fort Smith, AR, 72916-6024
Phone Number
479-308-2243
Fax Number
478-431-5387
Provider Enumeration Date
06/04/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1082722960 01 IA TRICARE
institution
Provider Business Practice Location Address Details
Address
7000 Chad Colley Blvd
City
State
Zip
72916-6024
Phone Number
479-308-2243
Fax Number
478-431-5387
person
Provider Business Mailing Address Details
Address
7000 Chad Colley Blvd
City
State
Zip
72916-6024
Phone Number
479-308-2243
Fax Number
478-431-5387
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
602AH0340 (Iowa)
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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