Individual provider · Type 1 NPI

Tara Ashli Bates, MD

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

NPI number 1851151005 Active

Practice location

3250 Vineyard Dr
Conway, AR 72032-8058

Call (501) 952-1612 Map

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 1851151005

Tara Ashli Bates, MD's National Provider Identifier is 1851151005, issued on Mar 21, 2024. 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 Mar 21, 2024.