Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | E-3835 | AR |
NPI | 1043290836 |
---|---|
Provider Name | Dr. Jason Glenn Daily |
First Address | Fort Smith, AR 72903-4067 |
Second Address | Fort Smith, AR 72903-4067 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 10/07/2017 |