Individual
L DANIEL EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 N VAN BUREN ST, LITTLE ROCK, AR 72205-3650
(501) 265-0100
(501) 265-0102
Mailing address
220 N VAN BUREN ST, LITTLE ROCK, AR 72205-3650
(501) 265-0100
(501) 265-0102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
84-189-08
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02593066
—
NY
05
—
140207716
—
AR
01
—
35217806300
DME/QUALCHOICE
AR
01
—
49597
DME/BCBS
AR
Enumeration date
07/12/2006
Last updated
01/22/2009
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