MEDICARE: DYLAN ELKINGTON-STAUSS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1023997111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DYLAN ELKINGTON-STAUSS

Provider Business Mailing Address
First Line	:	207 N CEDAR ST
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-5533
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4301 W MARKHAM ST
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-7101
Country	:	US
Telephone Number	:	501-686-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	09/02/2025

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