Provider Demographics
NPI:1073512828
Name:ARNOLD, GRIFFIN A II (MD)
Entity Type:Individual
Prefix:DR
First Name:GRIFFIN
Middle Name:A
Last Name:ARNOLD
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:AR
Mailing Address - Zip Code:72576-0457
Mailing Address - Country:US
Mailing Address - Phone:870-895-3281
Mailing Address - Fax:870-895-3118
Practice Address - Street 1:661 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:AR
Practice Address - Zip Code:72576-9451
Practice Address - Country:US
Practice Address - Phone:870-895-3281
Practice Address - Fax:870-895-3118
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARC7652207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR116161001Medicaid
AR116161001Medicaid
ARBA2050297OtherDEA
ARE10472Medicare UPIN