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Individual

DAVID ALLEN DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
476 HOSPITAL DR, CAMDEN, AR 71701-4616
(870) 800-9002
(870) 800-9004
Mailing address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
PA-939
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257653795
AR
Enumeration date
09/25/2020
Last updated
07/03/2024
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