Individual
MR. DAVID SHANE MCALISTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 MEDICAL CENTER PARKWAY, BENTONVILLE, AR 72712
(479) 553-1000
(479) 968-7931
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(479) 271-9533
(479) 968-7931
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
N7040
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50611
ARK. BCBS
AR
Enumeration date
02/23/2006
Last updated
07/08/2007
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