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Individual

DR. WILLIAM A DANIEL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5423
(501) 552-3000
(501) 552-4181
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E5704
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1588785554
BCBS
AR
05
177089001
AR
Enumeration date
04/03/2007
Last updated
03/18/2010
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