Healthcare Provider Details

I. General information

NPI: 1053425819
Provider Name (Legal Business Name): DAVID H. ARNOLD,M.D.P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 07/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 WEST LAKE PROFESSIONAL PARK
GENEVA AL
36340
US

IV. Provider business mailing address

3 WEST LAKE PROFESSIONAL PARK
GENEVA AL
36340
US

V. Phone/Fax

Practice location:
  • Phone: 334-684-2281
  • Fax: 334-684-9659
Mailing address:
  • Phone: 334-684-2281
  • Fax: 334-684-9659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9269
License Number StateAL

VIII. Authorized Official

Name: DR. DAVID H. ARNOLD
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 334-684-2281