Individual
BAILEY MADISON BURCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 WE KNIGHT DR, FORT SMITH, AR 72903-6254
(479) 709-6702
Mailing address
610 COLLUM LN W, ALMA, AR 72921-5002
(479) 430-1722
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
120183
AR
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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