Organization
DAN LISTER, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNY GENE LISTER M.D. (PRESIDENT)
(501) 250-2020
Entity
Organization
Contact information
Practice address
309 SOUTHRIDGE BLVD, STE. A, HEBER SPRINGS, AR 72543-8875
(501) 250-2020
(501) 250-0200
Mailing address
309 SOUTHRIDGE BLVD, STE. A, HEBER SPRINGS, AR 72543-8875
(501) 250-2020
(501) 250-0200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E1741
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134576001
—
AR
Enumeration date
05/09/2016
Last updated
05/09/2016
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