Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID M STREET, PA
ActiveDAVID M STREET, PA is a Surgical Physician Assistant healthcare provider located in BENTON, Arkansas. NPI 1487252755 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BENTON, AR
Registration Details
- NPI Number
- 1487252755
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2020 (5.8452735041947 yrs)
- Last Updated
- Oct 9, 2020
- License
-
PT2020058 (AR)
Practice Information
- Address
-
2010 ACTIVE WAYBENTON, AR, 720229267Browse AR providers · Browse ZIP 72022
- Phone
- 5013150984
- Fax
- 5018471405
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.