Provider Demographics
NPI:1790843308
Name:MCARTHUR, DANIEL L JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:L
Last Name:MCARTHUR
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:315 N PAGE RD 11 PINEHURST COMMONS
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28370
Mailing Address - Country:US
Mailing Address - Phone:910-295-3441
Mailing Address - Fax:910-295-3441
Practice Address - Street 1:315 N PAGE RD
Practice Address - Street 2:11 PINEHURST COMMONS
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28370
Practice Address - Country:US
Practice Address - Phone:910-295-3441
Practice Address - Fax:910-295-3441
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC82213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89-08121Medicaid
243036Medicare ID - Type Unspecified
NC89-08121Medicaid