Individual
DR. DAVID ARTHUR DIFFINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 MEDICAL DR, SUITE C, BLYTHEVILLE, AR 72315-1425
(870) 824-2809
(870) 762-0731
Mailing address
1100 MEDICAL DR, SUITE C, BLYTHEVILLE, AR 72315-1425
(870) 824-2809
(870) 762-0731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2000148413
MO
207Q00000X
Family Medicine Physician
Primary
E-3767
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150606001
—
AR
05
—
205143001
—
MO
Enumeration date
05/24/2005
Last updated
02/07/2024
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