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Organization
THE DAVIDSON HOSPITAL
Active
Organization
THE DAVIDSON HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN LUKE DAVIDSON (CEO, MD)
(501) 412-5520
Entity
Organization
Contact information
Practice address
3305 MALLOY ST, LITTLE ROCK, AR 72204-4480
(501) 412-5520
Mailing address
3305 MALLOY ST, LITTLE ROCK, AR 72204-4480
(501) 412-5520
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105328715
—
AR
Enumeration date
08/07/2019
Last updated
04/11/2020
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