Individual
DR. ANDREW DAVID DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
880 W MAIN ST, BOONEVILLE, AR 72927-3420
(479) 675-2800
Mailing address
PO BOX 290, BOONEVILLE, AR 72927-0290
(479) 675-2455
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-4588
AR
207Q00000X
Family Medicine Physician
E-4588
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160753001
—
AR
Enumeration date
05/18/2006
Last updated
12/15/2022
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