Individual provider · Type 1 NPI
Dylan Russell
Student in an Organized Health Care Education/Training Program · Rogers, AR
NPI number
1487298717
Active
Practice location
1015 Westridge Ln
Rogers, AR 72756-2034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1487298717
Dylan Russell's National Provider Identifier is 1487298717, issued on Oct 30, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rogers, AR. The record was last updated on Oct 30, 2019.