Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1630 | AR |
NPI | 1124235700 |
---|---|
Provider Name | Dr. Edward A Darnel |
First Address | Pine Bluff, AR 71603-6113 |
Second Address | Pine Bluff, AR 71603-4917 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 08/07/2007 |