Individual
USMAN SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 573-3838
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
04/06/2023
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