Individual
MR. DAN VANCIL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
500 S MOUNT OLIVE ST, SILOAM SPRINGS, AR 72761-3602
(479) 524-6306
(479) 524-6096
Mailing address
51 CHAMPIONS BLVD, ROGERS, AR 72758-9568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT205
AR
225100000X
Physical Therapist
R0639
MO
Other
Enumeration date
10/14/2005
Last updated
07/09/2007
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