Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RS0012X | Sleep Medicine | E0022 | AR |
NPI | 1275556599 |
---|---|
Provider Name | Dr. David G Davila |
First Address | Little Rock, AR 72211-4316 |
Second Address | Little Rock, AR 72205-6324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 15/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
126828801 | (05) | AR |
1275556599 | MUNICIPAL HEALTH (01) | |
19675000040 | QUAL CHOICE (01) | |
2075612 | UNITED HEALTHCARE (01) | |
2738596 | CIGNA (01) | |
510810 | HEALTHLINK (01) | |
5593044 | AETNA (01) | |
5J356 | BCBS (01) | |
71-0781138 | AMCO (01) | |
71-0781138 | GREAT WEST (01) | |
710781138028 | TRICARE (01) | |
E86574 | (02) | |
F002 | TRICARE (01) | |
SPE 0022 | ARKANSAS COMMUNITY CARE (01) |