Healthcare Provider Details

I. General information

NPI: 1801898630
Provider Name (Legal Business Name): DAVID R SLAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 04/06/2022
Certification Date: 04/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1662 HIGDON FERRY RD STE 100
HOT SPRINGS AR
71913-6980
US

IV. Provider business mailing address

PO BOX 21850
HOT SPRINGS AR
71903-1850
US

V. Phone/Fax

Practice location:
  • Phone: 501-318-6199
  • Fax: 501-318-6982
Mailing address:
  • Phone: 501-318-6199
  • Fax: 501-318-6982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberE4560
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE4560
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: