Individual
JOHN WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
532 S 10TH ST, ARKADELPHIA, AR 71923-7012
(888) 404-0367
Mailing address
PO BOX 3, ARKADELPHIA, AR 71923-0003
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
23194
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23194
PARAMEDIC
AR
Enumeration date
10/18/2022
Last updated
10/18/2022
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