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Individual

DANIEL PEVRIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
140 HIGHWAY 201 N, MOUNTAIN HOME, AR 72653-3158
(870) 232-5215
(870) 232-5240
Mailing address
PO BOX 2443, MOUNTAIN HOME, AR 72654-2443
(870) 232-5215
(870) 232-5240

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
122295
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
237093758
AR
Enumeration date
10/03/2019
Last updated
08/13/2024
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