SearchArkansas183500000X

Bruce Power

NPI 1245832567 · on the registry since 2020 · sole proprietor

Practice

Address
3475 Black Forest Dr
Fayetteville, AR 72704
Phone
(479) 442-2276
Organisation at this address
Walmart Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-11

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