Provider Demographics
NPI:1184720948
Name:HONEYCUTT, D'ARCY ADAIRE (MD)
Entity type:Individual
Prefix:
First Name:D'ARCY
Middle Name:ADAIRE
Last Name:HONEYCUTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 E ROSSER AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-4463
Mailing Address - Country:US
Mailing Address - Phone:701-530-8450
Mailing Address - Fax:701-530-8457
Practice Address - Street 1:810 E ROSSER AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-4463
Practice Address - Country:US
Practice Address - Phone:701-530-8450
Practice Address - Fax:701-530-8457
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND77662086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY29333OtherKY STATE MEDICAL LICENSE
TXH0460OtherTX STATE MEDICAL LICENSE
TXH0460OtherTX STATE MEDICAL LICENSE