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Dylan Russell
Student in an Organized Health Care Education/Training Program in Rogers, Arkansas
NPI 1487298717

Dylan Russell is a Student in an Organized Health Care Education/Training Program based in Rogers, AR. Dylan Russell practices in Rogers, AR. The NPI Number for Dylan Russell is 1487298717 and holds a License No. (Arkansas).

The current practice location address for Dylan Russell is 1015 Westridge Ln, Rogers, AR and can be reached out via phone at 479-295-2004.

Location: 1015 Westridge Ln, Rogers, AR, 72756-2034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487298717
Provider Name
Dylan Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
1015 Westridge Ln, Rogers, AR, 72756-2034
Phone Number
479-295-2004
Fax Number
Provider Enumeration Date
10/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1015 Westridge Ln
City
Rogers
State
Arkansas
Zip
72756-2034
Phone Number
479-295-2004
Fax Number
person
Provider Business Mailing Address Details
Address
1015 Westridge Ln
City
Rogers
State
Arkansas
Zip
72756-2034
Phone Number
479-295-2004
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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