person
Dr. Idean Pourshams, MD
Student in an Organized Health Care Education/Training Program in Fayetteville, Arkansas
NPI 1952006843

Idean Pourshams is a Student in an Organized Health Care Education/Training Program based in Fayetteville, AR. Idean Pourshams practices in Fayetteville, AR and has the professional credentials of MD. The NPI Number for Idean Pourshams is 1952006843 and holds a License No. (Arkansas).

The current practice location address for Idean Pourshams is 1125 N College Ave # Slot100, Fayetteville, AR and can be reached out via phone at 479-713-8310.

Location: 1125 N College Ave # Slot100, Fayetteville, AR, 72703-1908
person
Provider Profile Details
NPI Number
1952006843
Provider Name
Idean Pourshams
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1125 N College Ave # Slot100, Fayetteville, AR, 72703-1908
Phone Number
479-713-8310
Fax Number
Provider Enumeration Date
03/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1125 N College Ave # Slot100
City
State
Zip
72703-1908
Phone Number
479-713-8310
Fax Number
person
Provider Business Mailing Address Details
Address
1125 N College Ave # Slot100
City
State
Zip
72703-1908
Phone Number
479-713-8310
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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