Individual
DAVID DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1718 OLD HOT SPRINGS HIGHWAY, BENTON, AR 72019
(501) 315-3344
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116374726
—
AR
Enumeration date
08/28/2016
Last updated
08/28/2016
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