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Individual

DR. RONALD CRAIG DAVIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
405 W 16TH ST, STE B, HOPE, AR 71801-7104
(870) 777-7581
(870) 777-4625
Mailing address
PO BOX 785, HOPE, AR 71802-0785
(870) 777-7581
(870) 777-4625

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C-5391
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51318
BCBS PROVIDER NUMBER
AR
Enumeration date
06/10/2005
Last updated
07/09/2007
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