Individual
JAMES A MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1115 S WALDRON RD, 107, FORT SMITH, AR 72903-2551
(479) 452-1581
(479) 452-2148
Mailing address
PO BOX 11880, FORT SMITH, AR 72917-1880
(479) 452-1581
(479) 452-2148
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C003064
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C003064
CRNA LICENSE
AR
Enumeration date
12/31/2014
Last updated
12/31/2014
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