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Individual

DAVIS OWEN JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
601 W MAPLE AVE STE 503, SPRINGDALE, AR 72764
(479) 751-3722
(479) 751-1099
Mailing address
222 LAKE VALLEY DR, MAUMELLE, AR 72113-5942

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R094008
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C003246
AR

Other

Enumeration date
03/12/2018
Last updated
06/20/2018
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