Individual
MR. ANTHONY DAVID MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1958 E FRAZIER TER, FAYETTEVILLE, AR 72703-7079
(479) 595-6556
Mailing address
1958 E FRAZIER TER, FAYETTEVILLE, AR 72703-7079
(479) 595-6556
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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