# JOHN W. DAVIS

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

## Provider details

- **NPI number:** 1740268978
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 0101053580 | VA | — |
| 208800000X | Urology Physician | L0785 | TX | Yes |

## Other

- **Enumeration date:** 01/06/2006
- **Last updated:** 11/11/2011

## 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 |