Dr. William Ladell Douglas
Adolescent Medicine
100 E 20th St Suite B
Hope
, Arkansas 71801-8213
Dr. William Ladell Douglas
Adolescent Medicine
100 E 20th St Suite B
Hope
, Arkansas 71801-8213
(870) 777-4851
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. William Ladell Douglas
- 100 E 20th St Suite B
- Hope, AR
- Zip : 71801-8213
- Fax : (870) 777-4851
- Phone : (870) 777-2100
Second Address
- Dr. William Ladell Douglas
- 100 E 20th St Suite B
- Hope, AR
- Zip : 71801-8213
- Fax : (870) 777-4851
- Phone : (870) 777-2100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | R4535 | AR |
National Provider Identifier
| NPI | 1285654285 |
|---|---|
| Provider Name | Dr. William Ladell Douglas |
| First Address | Hope, AR 71801-8213 |
| Second Address | Hope, AR 71801-8213 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 124721001 | (05) | AR |
| 144850000 | QUAL CHOICE (01) | AR |
| 5J306 | BCBS (01) | AR |
| F73248 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.