| R Keith Davis Md Pllc Pa School Based Clinic | |
|
727 Buckaroo Ln Smackover AR 71762-1730 | |
| (870) 725-3471 | |
| (870) 725-3041 |
| Full Name | R Keith Davis Md Pllc Pa School Based Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 727 Buckaroo Ln, Smackover, Arkansas |
| Authorized Official Name and Position | Richard Keith Davis (OWNER) |
| Authorized Official Contact | 8707253471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Keith Davis Md Pllc Pa School Based Clinic 1400 Pershing Hwy Smackover AR 71762-2300 Ph: (870) 725-3471 | R Keith Davis Md Pllc Pa School Based Clinic 727 Buckaroo Ln Smackover AR 71762-1730 Ph: (870) 725-3471 |
| NPI Number | 1407374101 |
|---|---|
| Provider Enumeration Date | 09/01/2017 |
| Last Update Date | 09/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407374101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Richard K Davis Md Pllc Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Pershing Hwy, Smackover, AR 71762 Phone: 870-725-3471 Fax: 870-725-3215 | |
R Keith Davis Md Pllc Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 Pershing Hwy, Smackover, AR 71762 Phone: 870-725-3471 Fax: 870-725-3215 | |
Clint A Netherland, Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 Pershing Hwy, Smackover, AR 71762 Phone: 870-725-3471 Fax: 870-725-3041 |