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DAVID EDWARD CARLISLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6693
Mailing address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6693

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C002926
AR
367500000X
Certified Registered Nurse Anesthetist
CTP-00197
AR

Other

Enumeration date
04/27/2012
Last updated
10/10/2023
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