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Dr. Mallory Bagwell, DO
Student in an Organized Health Care Education/Training Program in Conway, Arkansas
NPI 1487399309

Mallory Bagwell is a Student in an Organized Health Care Education/Training Program based in Conway, AR. Mallory Bagwell practices in Conway, AR and has the professional credentials of DO. The NPI Number for Mallory Bagwell is 1487399309 and holds a License No. (Arkansas).

The current practice location address for Mallory Bagwell is 2302 College Ave, Conway, AR and can be reached out via phone at 501-506-2747. You can also correspond with Mallory Bagwell through the mailing address at 2302 COLLEGE AVE, CONWAY, AR - 72034-6297 (mailing address contact number: ).

Location: 2302 College Ave, Conway, AR, 72034-6297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487399309
Provider Name
Mallory Bagwell
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2302 College Ave, Conway, AR, 72034-6297
Phone Number
501-506-2747
Fax Number
Provider Enumeration Date
05/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2302 College Ave
City
Conway
State
Arkansas
Zip
72034-6297
Phone Number
501-506-2747
Fax Number
person
Provider Business Mailing Address Details
Address
2302 College Ave
City
Conway
State
Arkansas
Zip
72034-6297
Phone Number
501-506-2747
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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