Organization
DAVID ANDERSON, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANDERSON (OWNER)
(501) 712-1998
Entity
Organization
Contact information
Practice address
501 MILLWOOD CIR, SUITE H, MAUMELLE, AR 72113-6327
(501) 712-1998
(501) 712-1999
Mailing address
PO BOX 13805, MAUMELLE, AR 72113-0805
(501) 712-1998
(501) 712-1999
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC-3010
ARKANSAS STATE MEDICAL BOARD REGISTRATION
AR
Enumeration date
02/15/2014
Last updated
03/27/2014
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