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Dr. Tara Ashli Bates, MD
Student in an Organized Health Care Education/Training Program in Conway, Arkansas
NPI 1851151005

Tara Ashli Bates is a Student in an Organized Health Care Education/Training Program based in Conway, AR. Tara Ashli Bates practices in Conway, AR and has the professional credentials of MD. The NPI Number for Tara Ashli Bates is 1851151005 and holds a License No. (Arkansas).

The current practice location address for Tara Ashli Bates is 3250 Vineyard Dr, Conway, AR and can be reached out via phone at 501-952-1612.

Location: 3250 Vineyard Dr, Conway, AR, 72032-8058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851151005
Provider Name
Tara Ashli Bates
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3250 Vineyard Dr, Conway, AR, 72032-8058
Phone Number
501-952-1612
Fax Number
Provider Enumeration Date
03/21/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3250 Vineyard Dr
City
Conway
State
Arkansas
Zip
72032-8058
Phone Number
501-952-1612
Fax Number
person
Provider Business Mailing Address Details
Address
3250 Vineyard Dr
City
Conway
State
Arkansas
Zip
72032-8058
Phone Number
501-952-1612
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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