Individual
DR. DANIEL W MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 274-6200
(479) 274-6299
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 274-2000
(479) 274-2194
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
E-3603
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149462001
—
AR
01
—
900004395
RR MEDICARE
—
Enumeration date
07/21/2006
Last updated
08/31/2015
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