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Individual

DR. PETER M DAUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
741 E VAN ASCHE DR, FAYETTEVILLE, AR 72703
(479) 442-5227
(479) 582-4952
Mailing address
741 E VAN ASCHE DR, FAYETTEVILLE, AR 72703-4916
(479) 442-5227
(479) 582-4952

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E4319
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11810000000
QUALCHOICE
AR
05
157780001
AR
01
5N242
BLUE CROSS PROVIDER
AR
Enumeration date
05/12/2006
Last updated
06/25/2025
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