Individual
DR. WILLIAM LADELL DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E 20TH ST, SUITE B, HOPE, AR 71801-8213
(870) 777-2100
(870) 777-4851
Mailing address
100 E 20TH ST, SUITE B, HOPE, AR 71801-8213
(870) 777-2100
(870) 777-4851
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
R4535
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124721001
—
AR
01
—
144850000
QUAL CHOICE
AR
01
—
5J306
BCBS
AR
Enumeration date
07/20/2006
Last updated
07/08/2007
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