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Individual

MR. JOHN DANIEL NICHOLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4001 WAGON WHEEL RD, SPRINGDALE, AR 72762-0137
(479) 725-3000
(479) 725-3095
Mailing address
4001 WAGON WHEEL RD, SPRINGDALE, AR 72762-0137
(479) 725-3000
(479) 725-3095

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-525
AR

Other

Enumeration date
10/29/2013
Last updated
10/29/2013
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