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Individual

MR. MICHAEL ALEX DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICENSED PRACTICAL N

Contact information

Practice address
3615 WEST 25TH STREET, LITTLE ROCK, AR 72204
(501) 500-0558
Mailing address
3 WOODBERRY ROAD, LITTLE ROCK, AR 72212-2741
(501) 366-8683

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L057160
AR

Other

Enumeration date
11/14/2024
Last updated
11/14/2024
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