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Brian Bandelow

NPI 1205741311 · on the registry since 2026 · sole proprietor

Practice

Address
201 N College St
Mountain Home, AR 72653
Phone
(870) 701-5089
Fax
(870) 277-0896
Clinicians at this address
11

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas