Billy Gene Bisswanger

NPI 1023280062 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1023280062
Gender Male
Enumeration Date 03/31/2008
Last Updated 03/31/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4301 W MARKHAM ST
SLOT 584
LITTLE ROCK AR, 72205-7101, US
Phone (501) 686-8000
Fax
Business Location
6712 WAVERLY PL
LITTLE ROCK AR, 72207-3530, US
Phone (501) 296-9205
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Billy Gene Bisswanger NPI is 1023280062, taxonomy code is 390200000X Billy Gene Bisswanger physically located at 4301 W Markham St, Little Rock AR, 72205-7101. NPI Number Billy Gene Bisswanger has the Individual type.

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1023280062 NPI number is provided on an as is basis without warranty of any kind. 1023280062 is maintained by the National Plan & Provider Enumeration System. The contents of Billy Gene Bisswanger are for informational purposes only.