Individual
DR. DENNIS O DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 HARRISON ST, SUITE D, BATESVILLE, AR 72501
(870) 793-4724
(870) 793-4725
Mailing address
701 N UNIVERSITY, SUITE 201, LITTLE ROCK, AR 72205
(501) 224-1690
(501) 224-1927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C4467
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13600000000
QUAL CHOICE
AR
01
—
1670586
UNITED HEALTHCARE
AR
Enumeration date
07/05/2005
Last updated
04/18/2008
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