Provider Demographics
NPI:1306894456
Name:DAVIS BROWN & MORSE PARTNERSHIP NEUROLOGICAL ASSOCIATES
Entity type:Organization
Organization Name:DAVIS BROWN & MORSE PARTNERSHIP NEUROLOGICAL ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMLINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-442-4070
Mailing Address - Street 1:PO BOX 9990
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-0034
Mailing Address - Country:US
Mailing Address - Phone:479-442-4070
Mailing Address - Fax:479-442-9341
Practice Address - Street 1:1794 E JOYCE BLVD
Practice Address - Street 2:SUITE #3
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-0034
Practice Address - Country:US
Practice Address - Phone:479-442-4070
Practice Address - Fax:479-442-9341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR113291002Medicaid
AR57561Medicare ID - Type Unspecified