Individual
RONALD ALLEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
180 DEBUYS RD., BILOXI, MS 39531
(228) 860-0157
(228) 860-0157
Mailing address
12608 OAK FOREST DR, GULFPORT, MS 39503-5732
(228) 832-3516
(228) 832-3516
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-053282
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
R662275
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51532260
ALABAMA BCBS
—
Enumeration date
08/30/2006
Last updated
07/08/2007
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