Healthcare Provider Details

I. General information

NPI: 1497756076
Provider Name (Legal Business Name): DARIO M ESPINA M.D., F.A.C.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E RAY FINE BLVD STE 6
ROLAND OK
74954-5381
US

IV. Provider business mailing address

PO BOX 11768
FORT SMITH AR
72917-1768
US

V. Phone/Fax

Practice location:
  • Phone: 918-503-6235
  • Fax: 918-503-6239
Mailing address:
  • Phone: 479-484-1010
  • Fax: 479-785-9916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number14997
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberE1954
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: