DAVID M STREET

BENTON, AR
NPI1487252755
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: AR  PT2020058)
Enumeration Date2020-10-09
Last Update Date2020-10-09
Business Address
DAVID M STREET PA
2010 ACTIVE WAY
BENTON, AR 72022-9267
Phone number: 501-315-0984
Mailing Address
DAVID M STREET PA
2010 ACTIVE WAY
BENTON, AR 72022-9267
Phone number: 501-315-0984
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