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Grant Davidson

NPI 1164805511 · on the registry since 2015

Practice

Address
1874 N Hunters Rdg
Suite 1
Fayetteville, AR 72701
Phone
(479) 442-5092
Fax
(479) 587-0932
Organisation at this address
Gklm, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas