Individual
SOROUSH OMIDVARNIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6000
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
—
AR
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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