Individual
MR. THOMAS JAY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3873 N PARKVIEW DR, PHYSICIANS' SPECIALTY HOSPITAL, FAYETTEVILLE, AR 72703
(479) 571-7070
(479) 571-7090
Mailing address
3873 N. PARKVIEW DR, PHYSICIANS' SPECIALTY HOSPITAL, FAYETTEVILLE, AR 72703
(479) 571-7070
(479) 571-7090
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C8249
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072550A
—
OK
05
—
131063001
—
AR
01
—
770119401
ARKANSAS BREASTCARE
AR
Enumeration date
12/05/2005
Last updated
05/20/2014
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