Healthcare Provider Details

I. General information

NPI: 1285049890
Provider Name (Legal Business Name): D'ANN ARTHUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: D'ANN E MINEO MD

II. Dates (important events)

Enumeration Date: 06/23/2014
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 FAIR OAKS AVE STE 100
ARROYO GRANDE CA
93420-3929
US

IV. Provider business mailing address

850 FAIR OAKS AVE STE 100
ARROYO GRANDE CA
93420-3929
US

V. Phone/Fax

Practice location:
  • Phone: 805-473-0700
  • Fax:
Mailing address:
  • Phone: 805-473-0700
  • Fax: 805-473-5931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMED-PHYS-LIC-131942
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number81202
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberA140490
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberMD61035150
License Number StateWA
# 5
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberMED-PHYS-LIC-131942
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: