IDEAN POURSHAMS

FAYETTEVILLE, AR
NPI1952006843
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-31
Last Update Date2023-03-31
Business Address
Dr. IDEAN POURSHAMS MD
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703-1908
Phone number: 479-713-8310
Mailing Address
Dr. IDEAN POURSHAMS MD
1125 N COLLEGE AVE # SLOT100
FAYETTEVILLE, AR 72703-1908
Phone number:
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