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DAVID A DAVIDSON, PA – NPI #1699382440
Surgical

NPI Profile for DAVID A DAVIDSON in CAMDEN, AR.

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Contact Information

DAVID A DAVIDSON, PA
476 HOSPITAL DR
CAMDEN, AR  71701-4616
 Phone: 870-800-9002
 Fax: 870-800-9004
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgical

 363AS0400X 97 Physician Assistant
 

Physician Assistant

 363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DAVID A DAVIDSON · (Male)

NPI # 1699382440
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/25/2020
Last updated 07/03/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AR License # PA-939
  • AR Medicaid 257653795
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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