John Daniel Nicholas, PA-C Valid NPI

Individual provider · Physician Assistant · Springdale, AR

NPI

1245668292

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA-525 (AR)

Sex

Male

Sole proprietor

No

Enumerated

2013-10-29

Last updated

2013-10-29