Individual
DR. ELENA MERCEDES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
243455
NY
207ZP0213X
Pediatric Pathology Physician
243455
NY
207ZP0213X
Pediatric Pathology Physician
Primary
E-5448
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175001001
—
AR
Enumeration date
03/15/2007
Last updated
03/25/2009
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