Basic Information
| Provider Information | |||||||||
| NPI: | 1588961338 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DARRIN ASHBROOKS MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 295 | ||||||||
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| City: | LOCKESBURG | ||||||||
| State: | AR | ||||||||
| PostalCode: | 718460295 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1306 W COLLIN RAYE DR | ||||||||
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| City: | DE QUEEN | ||||||||
| State: | AR | ||||||||
| PostalCode: | 718322502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8705844111 | ||||||||
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| ProviderEnumerationDate: | 02/14/2011 | ||||||||
| LastUpdateDate: | 03/22/2011 | ||||||||
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| AuthorizedOfficialLastName: | ASHBROOKS | ||||||||
| AuthorizedOfficialFirstName: | DARRIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8702895865 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QS0010X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine |
No ID Information.