Individual
MR. SEIJI JIM DEGOLYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
1820 DRURY LN, CONWAY, AR 72034-2942
(501) 327-6317
Mailing address
1820 DRURY LN, CONWAY, AR 72034-2942
(501) 327-6317
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
0785
AR
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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