Individual
HEATHER BULLARD MANBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-11548
AR
208000000X
Pediatrics Physician
Primary
E-11548
AR
Other
Enumeration date
04/14/2014
Last updated
10/18/2021
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