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Justin Deremo
NPI 1306418124 · on the registry since 2021
Practice
- Address
- 2508 Se 20th St
Bentonville, AR 72712 - Phone
- (479) 273-9088
- Clinicians at this address
- 45
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-12
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