Individual
MS. ELLE KARLI DYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
525 WESTERN AVE STE 305, CONWAY, AR 72034-4982
(501) 358-6145
(501) 504-6642
Mailing address
525 WESTERN AVE STE 305, CONWAY, AR 72034-4982
(501) 358-6145
(501) 504-6642
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA977
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268244795
—
AR
Enumeration date
09/03/2010
Last updated
07/10/2024
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