Individual
ZACH WICKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
506 N VAN, SEARCY, AR 72143
(903) 491-6900
Mailing address
506 N VAN, SEARCY, AR 72143
(903) 491-6900
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2000022913
AR
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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