Healthcare Provider Details

I. General information

NPI: 1710192786
Provider Name (Legal Business Name): DAVID W. ARNOLD D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2007
Last Update Date: 07/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 NORTHPORT AVE
BELFAST ME
04915-6009
US

IV. Provider business mailing address

1067 S MOUNTAIN VALLEY HWY
MONTVILLE ME
04941-4406
US

V. Phone/Fax

Practice location:
  • Phone: 207-338-9345
  • Fax:
Mailing address:
  • Phone: 814-440-5831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number1998
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: