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Individual

DR. FREDERICK NICHOLAS DAY III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1101 JACKSON ST SW, GRAVETTE, AR 72736-9121
(479) 334-6870
Mailing address
3914 BELLE MEAD ST, SPRINGDALE, AR 72762-8251
(609) 402-1066

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
147
AR
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
147
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127988717
AR
01
P01158251
MEDICARE TRA
AR
Enumeration date
06/07/2007
Last updated
07/28/2022
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