Individual
SEAN LUKE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
N-7808
AR
208M00000X
Hospitalist Physician
Primary
AR3886
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040114
—
AR
Enumeration date
08/06/2019
Last updated
04/11/2020
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