Provider Demographics
NPI:1033198908
Name:ARNOLD, DANIEL J (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4480 UTICA RIDGE RD STE 160
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-1637
Mailing Address - Country:US
Mailing Address - Phone:563-742-4850
Mailing Address - Fax:563-742-4855
Practice Address - Street 1:4480 UTICA RIDGE RD STE 160
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-1637
Practice Address - Country:US
Practice Address - Phone:563-742-4850
Practice Address - Fax:563-742-4855
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA3344207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1033198908Medicaid
IA544540026Medicare PIN