Talledo Zevallos, Oscar Gonzalo

Talledo Zevallos, Oscar Gonzalo is an sole proprietor health care provider with primary practice located at 1901 Encore Way , Bryant AR 72019-8896. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Talledo Zevallos, Oscar Gonzalo can be contacted via phone (501) 213-4500.

Contact Information

Primary practice address
1901 Encore Way Bryant AR 72019-8896
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 31526 Oklahoma
Allopathic & Osteopathic Physicians / Surgery 208600000X MD-47408 Iowa

Profile Details

NPI number 1265850671
LBN Legal business name Talledo Zevallos, Oscar Gonzalo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2014
Last updated Jun 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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