Individual
DUANE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
6440 MILLROCK DR, SUITE 175, SALT LAKE CITY, UT 84121-5589
(800) 676-3490
(866) 588-1518
Mailing address
2029 W LAWSON ST, FAYETTEVILLE, AR 72703-1322
(479) 521-3553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
582
AR
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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