# CASEY LEIGH DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710201272
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 085.003693 | IL | — |
| 363A00000X | Physician Assistant | 085.003693 | IL | — |
| 363A00000X | Physician Assistant | 2011030386 | MO | — |
| 363AS0400X | Surgical Physician Assistant | 2011030386 | MO | Yes |

## Other

- **Enumeration date:** 03/26/2010
- **Last updated:** 01/31/2014
