Individual
DAVID M COSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
904 HOLIDAY DR, SUITE 404, FORREST CITY, AR 72335-9183
(870) 630-1683
(870) 630-0308
Mailing address
904 HOLIDAY DR, SUITE 404, FORREST CITY, AR 72335-9183
(870) 630-1683
(870) 630-0308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-3890
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04030012800
QUALCHOICE OF ARKANSAS
—
05
—
1742236
—
LA
01
—
300800
CIGNA HEALTH CARE
—
01
—
5M781
BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/08/2006
Last updated
07/08/2007
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