Individual
MISTY E ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
561 W CENTRAL AVE, DELAWARE, OH 43015-1410
(740) 369-8711
(740) 368-5050
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35069284
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317005
IND BC/BS PROVIDER # GRDY
OH
05
—
2006224
—
OH
01
—
203413
GRP EEOICP # AT GRADY
OH
01
—
P00073867
IND RRMEDICARE # AT GRDY
OH
Enumeration date
04/13/2006
Last updated
03/14/2008
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