Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 3447 DENT,107ORTHO | AR |
NPI | 1033226485 |
---|---|
Provider Name | Dr. Darrin M Storms |
First Address | Springdale, AR 72764-7869 |
Second Address | Fayetteville, AR 72703-4911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 08/07/2007 |