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Individual
JEFFREY S DAVIS
Active
Individual
JEFFREY S DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
26429
OK
208800000X
Urology Physician
Primary
04-36260
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201076570A
—
KS
Enumeration date
06/12/2008
Last updated
10/31/2013
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