Provider Demographics
NPI:1053425819
Name:DAVID H. ARNOLD,M.D.P.C.
Entity type:Organization
Organization Name:DAVID H. ARNOLD,M.D.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-684-2281
Mailing Address - Street 1:3 WEST LAKE PROFESSIONAL PARK
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:AL
Mailing Address - Zip Code:36340
Mailing Address - Country:US
Mailing Address - Phone:334-684-2281
Mailing Address - Fax:334-684-9659
Practice Address - Street 1:3 WEST LAKE PROFESSIONAL PARK
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:AL
Practice Address - Zip Code:36340
Practice Address - Country:US
Practice Address - Phone:334-684-2281
Practice Address - Fax:334-684-9659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9269207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000010509Medicaid