Individual
DR. DANIEL EARL HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6093
Mailing address
PO BOX 1635, SEARCY, AR 72145-1635
(501) 771-4693
(501) 771-4885
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N7638
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115825001
—
AR
01
—
1275571333
BCBS
AR
Enumeration date
06/02/2006
Last updated
08/10/2011
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