Individual
CALEB DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1100 HENDERSON ST, HSU BOX 7894, ARKADELPHIA, AR 71999-0001
(870) 230-5426
(870) 230-5175
Mailing address
707 BRIAR RIDGE CT, JACKSONVILLE, AR 72076-5367
(501) 982-5632
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 683
AR
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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