Provider Demographics
NPI:1730174871
Name:ARNETT, DAVID M (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:ARNETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-2802
Mailing Address - Country:US
Mailing Address - Phone:719-539-3583
Mailing Address - Fax:719-539-3028
Practice Address - Street 1:320 E 1ST ST
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-2802
Practice Address - Country:US
Practice Address - Phone:719-539-3583
Practice Address - Fax:719-539-3028
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20349207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01203496Medicaid
COBC1218Medicare PIN
CO01203496Medicaid