Individual
MR. DYLAN SCOTT HOUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4800 E JOHNSON AVE, JONESBORO, AR 72405-8413
(870) 936-1000
Mailing address
283 HELTER RD, POCAHONTAS, AR 72455-1451
(870) 378-5923
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
220394
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/01/2022
Last updated
06/09/2022
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