Individual
JOHN DAVID ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
724 DEAVER ST, SPRINGDALE, AR 72764-5356
(479) 751-3202
(479) 756-2721
Mailing address
3000 MEDICAL CENTER PKWY, BENTONVILLE, AR 72712-3217
(479) 751-3202
(479) 756-2721
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C5752
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100067000A
—
OK
05
—
105091001
—
AR
Enumeration date
08/08/2006
Last updated
09/06/2016
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