Individual
MIGUEL ANGEL SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN CNP
Contact information
Practice address
1301 S WALTON BLVD, BENTONVILLE, AR 72712-6284
(479) 367-3078
Mailing address
201 HAYDEN BLVD, ROGERS, AR 72756-6903
(479) 925-5556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
228067
AR
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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