Search › Arkansas › 3336C0003X
Brandon Van
NPI 1679243976 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1308 S Rock St
Sheridan, AR 72150 - Phone
- (870) 942-5045
- Organisation at this address
- Walmart Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 3336C0003X
3336C0003X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-17
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