Provider Demographics
NPI:1205034386
Name:ARNESON, DAVID A (NMD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:ARNESON
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 W INDIAN SCHOOL RD
Mailing Address - Street 2:STE 122
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-3212
Mailing Address - Country:US
Mailing Address - Phone:602-234-1158
Mailing Address - Fax:602-234-9691
Practice Address - Street 1:550 W INDIAN SCHOOL RD
Practice Address - Street 2:STE 122
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-3212
Practice Address - Country:US
Practice Address - Phone:602-234-1158
Practice Address - Fax:602-234-9691
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ00-590175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZBA7179927OtherDEA