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DR. JAMES JASON ARNOLD DO
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1871607119
Individual Registrant:DR. JAMES JASON ARNOLD DO
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
307 BOATNER RD STE 114 EGLIN AFB, FL 32542-1302 US
Tel: 850-883-9501 Fax: --
Tel: 850-883-9501 Fax: --
Contact information for business:
307 BOATNER RD STE 114 EGLIN AFB, FL 32542-1302 US
Tel: 850-883-9501 Fax: --
Tel: 850-883-9501 Fax: --
Registration Information:
NPI: 1871607119
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | VA | 0102203654 |
| N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | 20A 9159 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| VIRGINIA LICENSE | 01022036554 | VA | 01 |
| CA MEDICAL LICENSE | 20A9159 | CA | 01 |
