Individual
JONATHON SAMUEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4976
(503) 413-7074
(503) 413-6892
Mailing address
4443 N GREY MEADOWS ST, MAIZE, KS 67101-5200
(515) 297-1491
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
05-50922
KS
Other
Enumeration date
03/30/2020
Last updated
07/23/2025
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