Individual provider · Type 1 NPI

Zachary Wilde Orvin

Student in an Organized Health Care Education/Training Program · Conway, AR

NPI number 1043947112 Active

Practice location

125 Center St
Conway, AR 72034-6462

Call (501) 450-6693 Map

Mailing address

3025 Westover Dr
Conway, AR 72032-8873

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1043947112

Zachary Wilde Orvin's National Provider Identifier is 1043947112, issued on Aug 8, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Conway, AR. The record was last updated on Aug 8, 2022.