NPI 1659604064

R Keith Davis MD PLLC PA

Organisation Family Medicine Physician Smackover, AR

Practice location

Address: 1400 Pershing Hwy, Smackover, AR 71762-2300
Phone: (870) 725-3471
Fax: (870) 725-3215
Mailing address: PO Box 69, Smackover, AR 71762-0069

Authorised official

Name: Richard K Davis
Title: Sole Member
Phone: (870) 725-3471

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence E3055 (AR)

Other Family Medicine providers in Arkansas →

Registry record

NPI: 1659604064
Entity type: Organization
NPI issued: 16 Sep 2009
Record last updated: 23 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.