MEDICARE: DR. DAVID M PERSSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	11939R	LA
2	207R00000X	Internal Medicine Physician	MD.11939R	LA
3	207R00000X	Internal Medicine Physician	E-11147	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720082530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID M PERSSON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 21850
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71903-1850
Country	:	US
Telephone Number	:	501-922-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 PONCE DE LEON DR
Second Line	:
City	:	HOT SPRINGS VILLAGE
State	:	AR
Zip	:	71909-8121
Country	:	US
Telephone Number	:	501-922-1700
Fax Number	:	501-922-0826

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	04/17/2023

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Directions to “ DR. DAVID M PERSSON M.D.” Practice Location

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