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Individual
JOHN W. DAVIS
Active
Individual
JOHN W. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101053580
VA
208800000X
Urology Physician
Primary
L0785
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007504420
—
VA
05
—
146022201
—
TX
01
—
460749
ANTHEM BC BS
VA
01
—
58216
SENTARA HEALTHCARE
VA
01
—
8B5923
BLUE SHIELD
TX
Enumeration date
01/06/2006
Last updated
11/11/2011
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