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Individual

DARREN S PLEDGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
719 DETROIT AVE, DANVILLE, AR 72833
(479) 495-6270
(479) 495-6299
Mailing address
PO BOX 639, DANVILLE, AR 72833-0639
(479) 495-6219
(479) 495-6299

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT3190
AR
363A00000X
Physician Assistant
Primary
PT2018-033
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA-796
STATE LICENSE
AR
Enumeration date
08/22/2014
Last updated
09/14/2018
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