Individual
MR. WILLIAM G. DAVIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN,CS,FNP-C
Contact information
Practice address
1706 SE WALTON BLVD, BENTONVILLE, AR 72712-3200
(479) 464-0400
Mailing address
11768 MALLARD DR, NEOSHO, MO 64850-8585
(417) 451-0282
(417) 451-6277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN089423
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425287109
—
MO
01
—
RN089423
RN LICENSE MISSOURI
MO
Enumeration date
05/30/2005
Last updated
09/07/2013
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