Individual
DAVID DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 512-10, LITTLE ROCK, AR 72202-3500
(501) 364-1494
(501) 364-3634
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
9900477
NC
208000000X
Pediatrics Physician
Primary
E-12032
AR
2080P0207X
Pediatric Hematology & Oncology Physician
E-12032
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1216X
BCBS
NC
01
—
23702
WELLPATH
NC
01
—
31605
PARTNERS MEDICARE CHOICE
NC
01
—
562034548
GROUP TAX ID
NC
01
—
7428011
AETNA
NC
01
—
88655
MEDCOST
NC
05
—
891216X
—
NC
01
—
895159
MAMSI
NC
Enumeration date
02/28/2006
Last updated
03/28/2023
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