Individual
DR. DANNY J AQUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2400 W MAIN ST, RUSSELLVILLE, AR 72801-2531
(479) 890-3668
(479) 890-9513
Mailing address
PO BOX 2089, RUSSELLVILLE, AR 72811-2089
(479) 890-3668
(479) 890-9513
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
141
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139839717
—
AR
01
—
18514000000
QUALCHOICE INDV. NUMBER
AR
01
—
480030569
RAILROAD MEDICARE NUMBER
AR
01
—
5375757
AETNA INDIVIDUAL NUMBER
AR
01
—
5U232
BCBS INDIVIDUAL NUMBER
AR
01
—
7396535001
CIGNA INDIVIDUAL NUMBER
AR
Enumeration date
05/24/2005
Last updated
10/04/2018
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