R Keith Davis MD Pllc PA

NPI #1407374101 in Smackover, Arkansas

Provider Information

NPI Number
1407374101
Entity Type
Organization
Organization Name
R Keith Davis MD Pllc PA
Subpart
Yes (part of a larger organization)
Parent Organization
R.KEITH DAVIS MD PLLC PA
Primary Specialty
Family Medicine
Enumeration Date
Sep 1, 2017
Last Updated
Sep 1, 2017

Practice Location

Address
727 BUCKAROO LN
ZIP Code
71762-1730
Phone
(870) 725-3471

Authorized Official

Name
RICHARD KEITH DAVIS JR., MD
Title
OWNER
Phone
(870) 725-3471

Specialties & Taxonomy Codes

Specialty
Family Medicine

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