Individual
PAUL DAIDONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1104 N 2ND ST, ROGERS, AR 72756-2834
(479) 335-5999
(479) 335-5995
Mailing address
1104 N 2ND ST, ROGERS, AR 72756-2834
(479) 335-5999
(479) 335-5995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E2474
AR
207RA0401X
Addiction Medicine (Internal Medicine) Physician
E2474
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141472001
—
AR
Enumeration date
06/01/2006
Last updated
12/22/2020
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