NPI 1043947112

Zachary Wilde Orvin

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

Practice location

Address: 125 Center St, Conway, AR 72034-6462
Phone: (501) 450-6693
Mailing address: 3025 Westover Dr, Conway, AR 72032-8873

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1043947112
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Aug 2022
Record last updated: 8 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.