Individual
STEPHEN R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5330
(314) 810-1399
Mailing address
302 PEBBLE VALLEY DR, SAINT LOUIS, MO 63141-8040
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36591
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202436333
—
MO
Enumeration date
06/23/2005
Last updated
05/22/2020
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