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Dallas Brose
NPI 1962067132 · on the registry since 2019 · sole proprietor
Practice
- Address
- 415 N College Ave
Clarksville, AR 72830 - Clinicians at this address
- 6
Additional practice sites
- 415 N College Ave, Clarksville, AR
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas