| Richard K Davis Md Pllc Pa | |
|
1400 Pershing Hwy Smackover AR 71762-2300 | |
| (870) 725-3471 | |
| (870) 725-3215 |
| Full Name | Richard K Davis Md Pllc Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Pershing Hwy, Smackover, Arkansas |
| Authorized Official Name and Position | Richard K Davis (SOLE MEMBER) |
| Authorized Official Contact | 8707253471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard K Davis Md Pllc Pa Po Box 69 Smackover AR 71762-0069 Ph: (870) 725-3471 | Richard K Davis Md Pllc Pa 1400 Pershing Hwy Smackover AR 71762-2300 Ph: (870) 725-3471 |
| NPI Number | 1003149493 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 09/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003149493 | NPI | - | NPPES |
| 51303 | Other | BCBS | |
| 106187001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C6398 (Arkansas) | Primary |
R Keith Davis Md Pllc Pa School Based Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 Buckaroo Ln, Smackover, AR 71762 Phone: 870-725-3471 Fax: 870-725-3041 | |
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 |