Individual provider · Type 1 NPI

Otis McKinnley Davis Iv, MD

Student in an Organized Health Care Education/Training Program · Little Rock, AR

NPI number 1386447852 Active

Practice location

4301 W Markham St # 634
Little Rock, AR 72205-7101

Call (501) 686-7592 Map

Mailing address

4214 C St
Little Rock, AR 72205-4056

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386447852

Otis McKinnley Davis Iv, MD's National Provider Identifier is 1386447852, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Little Rock, AR. The record was last updated on Mar 31, 2025.