Individual
DR. MICHAEL DOUGLAS DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5 MEDICAL PARK DR STE 304, BENTON, AR 72015-3745
(501) 507-2324
Mailing address
7310 PALM BEACH AVE, BENTON, AR 72019-1849
(501) 507-2324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-12166
AR
208M00000X
Hospitalist Physician
Primary
E-12166
AR
Other
Enumeration date
04/14/2016
Last updated
03/29/2023
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