Individual
DR. D MIKE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 COUNTRY CLUB ROAD, POCAHONTAS, AR 72455
(870) 892-8400
(870) 892-6033
Mailing address
2701 GREENBRIAR DR APT A, JONESBORO, AR 72401-5994
(870) 892-8400
(870) 892-6033
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A84
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56313
ARK BCBS
AR
Enumeration date
01/22/2007
Last updated
07/09/2007
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