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NPI Code Detail

MEDICARE: GABRIEL D DAVID

MEDICARE: GABRIEL D DAVID
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
1390200000XStudent in an Organized Health Care Education/Training ProgramAR

General Provider Information

NPI Number : 1528959699
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIEL D DAVID
Provider Business Mailing Address
First Line : 3215 N NORTHHILLS BLVD
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-4424
Country : US
Telephone Number : 479-463-3372
Fax Number :
Provider Business Practice Location Address
First Line : 3215 N NORTHHILLS BLVD
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-4424
Country : US
Telephone Number : 479-463-3372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2025
Last Update Date : 04/15/2026

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Directions to “ GABRIEL D DAVID ” Practice Location

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