Most Relevant Information
Provider Data
| NPI Number: | 1003529710 |
| Provider Name: | OCTASIA CHANDLER BS |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/28/2022 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
831 HIGHWAY 463 N
TRUMANN
AR
724721636
Practice Location Phone/Fax
| Phone: | 8704180794 |
| Fax: |
Provider Mailing Location
831 HIGHWAY 463 N
TRUMANN
AR
724721636
Provider Mailing Phone/Fax
| Phone: | 8704180794 |
| Fax: |