Organization
EAR, HEAD & NECK SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELDON LEONARD DAVIS M.D. (PRESIDENT)
(314) 921-7770
Entity
Organization
Contact information
Practice address
253 DUNN ROAD, FLORISSANT, MO 63031
(314) 921-7770
(314) 921-1417
Mailing address
253 DUNN ROAD, FLORISSANT, MO 63031
(314) 921-7770
(314) 921-1417
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502854300
—
MO
Enumeration date
10/02/2006
Last updated
11/01/2007
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