NPI 1487252755

David M Street, PA

Practitioner Surgical Physician Assistant Benton, AR

Practice location

Address: 2010 Active Way, Benton, AR 72022-9267
Phone: (501) 315-0984
Fax: (501) 847-1405

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PT2020058 (AR)

Other Physician Assistant providers in Arkansas →

Registry record

NPI: 1487252755
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Oct 2020
Record last updated: 9 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.