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Organization
R KEITH DAVIS MD PLLC PA
Active
Organization
R KEITH DAVIS MD PLLC PA
Active
Parent organization
R.KEITH DAVIS MD PLLC PA
Other names
R Keith Davis MD PLLC PA School Based Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
R.KEITH DAVIS MD PLLC PA
Authorized official
RICHARD KEITH DAVIS JR. MD (OWNER)
(870) 725-3471
Entity
Organization
Contact information
Practice address
727 BUCKAROO LN, SMACKOVER, AR 71762-1730
(870) 725-3471
(870) 725-3041
Mailing address
1400 PERSHING HWY, SMACKOVER, AR 71762-2300
(870) 725-3471
(870) 725-3041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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