Daniel Shane Briley PA

NPI 1194966374 - Physician Assistant - 363AM0700X

NPI Details
NPI 1194966374
Gender Male
Enumeration Date 03/17/2009
Last Updated 03/17/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2125 E MAIN ST STE 10
SILOAM SPRINGS AR, 72761-5576, US
Phone (479) 524-8552
Fax (479) 524-8593
Business Location
2125 E MAIN ST STE 10
SILOAM SPRINGS AR, 72761-5576, US
Phone (479) 524-8552
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Arkansas
License Number PA289AR
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According to our database, Daniel Shane Briley PA NPI is 1194966374, taxonomy code is 363AM0700X and license number is PA289AR, license state is located at Arkansas. Daniel Shane Briley PA physically located at 2125 E Main St Ste 10, Siloam Springs AR, 72761-5576. NPI Number Daniel Shane Briley PA has the Individual type.

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1194966374 NPI number is provided on an as is basis without warranty of any kind. 1194966374 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Shane Briley PA are for informational purposes only.