Individual
DAVID ALLEN STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
705 PHILLIPS PL, HUNTSVILLE, AR 72740-6266
(479) 738-1700
Mailing address
207 JONES ST, LOWELL, AR 72745-8039
(479) 531-2178
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005800
AR
Other
Enumeration date
10/25/2018
Last updated
11/12/2018
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