Individual
DAVID LUKE BRIGHTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
54 TATE SPRINGS RD, MELBOURNE, AR 72556-8633
(870) 368-5030
(870) 368-5032
Mailing address
117 S 2ND ST, PO BOX 497, AUGUSTA, AR 72006-2309
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-407
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197619795
—
AR
Enumeration date
04/09/2010
Last updated
11/07/2017
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