Organization
MEDARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KED L. DAVIS MD (PRESIDENT)
(870) 234-3802
Entity
Organization
Contact information
Practice address
1701 E NORTH ST, MAGNOLIA, AR 71753-3204
(870) 234-3802
(870) 234-7386
Mailing address
1701 E NORTH ST, MAGNOLIA, AR 71753-3204
(870) 234-3802
(870) 234-7386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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