Organization
PAUL W DAVIS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA KAY HARMON (OFFICE MANAGER)
(870) 879-6791
Entity
Organization
Contact information
Practice address
4747 DUSTY LAKE DR, STE G1, PINE BLUFF, AR 71603-9056
(870) 879-6791
(870) 879-4476
Mailing address
PO BOX 1225, PINE BLUFF, AR 71613-1225
(870) 879-6791
(870) 879-4476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111582002
—
AR
Enumeration date
04/20/2006
Last updated
01/31/2008
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