Individual
DAVID A. DIAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
EAST MAIN & SOUTH 20TH STREET, VAN BUREN, AR 72957
(479) 474-3401
(479) 471-4388
Mailing address
PO BOX 403234, ATLANTA, GA 30384-3234
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-3159
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5M092
BLUECROSS BLUESHIELD
AR
Enumeration date
01/11/2006
Last updated
07/08/2007
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