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NPI Code Detail

MEDICARE: WILLARD C. ARNOLD D.O.

MEDICARE:   WILLARD C. ARNOLD  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician02116KY

Other Identifiers

General Provider Information

NPI Number : 1134108855
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLARD C. ARNOLD D.O.
Provider Business Mailing Address
First Line : PO BOX 409013
Second Line :
City : ATLANTA
State : GA
Zip : 30384-9013
Country : US
Telephone Number : 800-377-8721
Fax Number : 304-523-2241
Provider Business Practice Location Address
First Line : 625 JAMES S TRIMBLE BLVD
Second Line :
City : PAINTSVILLE
State : KY
Zip : 41240-1055
Country : US
Telephone Number : 606-789-3511
Fax Number : 606-789-1432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 10/25/2007

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Directions to “ WILLARD C. ARNOLD D.O.” Practice Location

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