Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 150 | AR |
NPI | 1023097433 |
---|---|
Provider Name | Eric Allen Arp |
First Address | Mountain Home, AR 72653-3904 |
Second Address | Mountain Home, AR 72653-3904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 01/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
130362717 | (05) | AR |
180607716 | (05) | AR |
U61508 | (02) |