Provider Demographics
NPI:1790703064
Name:ARTHUR, DAVID L (PA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:611 WEST FRANCIS
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-0612
Mailing Address - Country:US
Mailing Address - Phone:308-534-2532
Mailing Address - Fax:308-534-6615
Practice Address - Street 1:611 WEST FRANCIS
Practice Address - Street 2:SUITE 100
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-0612
Practice Address - Country:US
Practice Address - Phone:308-534-2532
Practice Address - Fax:308-534-6615
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2010-02-16
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Provider Licenses
StateLicense IDTaxonomies
NE20363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NES58105Medicare UPIN