Individual
JON C DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 SE 4TH ST, EVANSVILLE, IN 47708-1607
(812) 426-9355
(812) 858-4539
Mailing address
PO BOX 3868, EVANSVILLE, IN 47737-3868
(812) 426-9355
(812) 858-4539
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01072503A
IN
207N00000X
Dermatology Physician
56569
KY
Other
Enumeration date
06/26/2009
Last updated
04/27/2022
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