Organization
DIABETIC RESOURCES OF ARKANSAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HARRISON WHITE (MEMBER/OWNER)
(870) 935-6700
Entity
Organization
Contact information
Practice address
911 E PARKER RD, JONESBORO, AR 72404-8370
(870) 935-6700
(870) 935-6700
Mailing address
P O BOX 444, JONESBORO, AR 72403
(870) 935-6700
(870) 935-6700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG00510
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149490716
—
AR
01
—
49853
BLUECROSSBLUESHIELD
AR
Enumeration date
09/28/2006
Last updated
09/09/2009
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