Healthcare Provider Details

I. General information

NPI: 1407811169
Provider Name (Legal Business Name): DAVID MICHAEL ARNOLD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 DAVE WARD DR SUITE 201
CONWAY AR
72034-8686
US

IV. Provider business mailing address

PO BOX 10660
CONWAY AR
72034-0011
US

V. Phone/Fax

Practice location:
  • Phone: 501-329-7246
  • Fax: 501-329-3900
Mailing address:
  • Phone: 501-329-7246
  • Fax: 501-329-3900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberN-7842
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: