Individual
MATTHEW DYLAN PRICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
CORNER ROUTE 7 AND ROUTE 12, FORT DEFIANCE, AZ 86504
(479) 422-3836
Mailing address
2901 S 26TH PL APT 1637, ROGERS, AR 72758-4232
(479) 422-3836
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
212996
AR
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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