Individual
DR. JOHN THOMAS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 LINCOLN DRIVE, HERRIN, IL 62948
(618) 997-6800
(618) 997-1187
Mailing address
510 LINCOLN DRIVE, HERRIN, IL 62948
(618) 997-6800
(618) 997-1187
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-115943
IL
207X00000X
Orthopaedic Surgery Physician
Primary
036115943
IL
Other
Enumeration date
07/26/2006
Last updated
05/21/2015
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