Individual
CALEB LEE BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3005 S 28TH PL APT 7, ROGERS, AR 72758-4730
(479) 208-1480
Mailing address
3005 S 28TH PL APT 7, ROGERS, AR 72758-4730
(479) 208-1480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AR 749
AR
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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