Individual
DR. DAVID NEIL BROTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W. KINGSHIGHWAY, SUITE 13, PARAGOULD, AR 72450
(870) 239-8107
(870) 239-8115
Mailing address
1000 W KINGSHIGHWAY STE 14, PARAGOULD, AR 72450-4197
(870) 239-8591
(870) 239-8137
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2012034742
MO
208600000X
Surgery Physician
Primary
E-11201
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196413001
—
AR
Enumeration date
05/31/2005
Last updated
12/02/2020
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