Individual
DAVID ARTHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 NORTH WINE ST, LYONS, IN 47443-0102
(812) 829-8152
Mailing address
PO BOX 102, LYONS, IN 47443-0102
(812) 829-8152
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104323217099
—
IN
Enumeration date
12/27/2013
Last updated
12/27/2013
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