Individual
DAVID R NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1835 GRANT AVE, NEA CLINIC, JONESBORO, AR 72403-1960
(870) 934-5117
(870) 932-3608
Mailing address
PO BOX 2420, FORT SMITH, AR 72902-2420
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
C5475
AR
Other
Enumeration date
10/05/2005
Last updated
08/27/2007
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