Provider Demographics
NPI:1083408835
Name:DAVIS, ARTHUR RAYMOND III
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:RAYMOND
Last Name:DAVIS
Suffix:III
Gender:
Credentials:
Other - Prefix:
Other - First Name:TREY
Other - Middle Name:RAYMOND
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16914 BRIGADOON TRL
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-8254
Mailing Address - Country:US
Mailing Address - Phone:251-223-9293
Mailing Address - Fax:
Practice Address - Street 1:1400 W 22ND ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1554
Practice Address - Country:US
Practice Address - Phone:605-333-7197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program