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Individual
DENNON W DAVIS
Active
Individual
DENNON W DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036099669
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047016
HEALTH ALLIANCE
—
01
—
080137051
RAILROAD MEDICARE
—
01
—
10019630
BCBS
—
01
—
334689
HEALTH LINK
—
Enumeration date
08/18/2006
Last updated
09/05/2024
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