Individual
DR. LARRY JAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7850 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-2224
(256) 882-0132
(256) 882-1461
Mailing address
7850 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-2224
(256) 882-0132
(256) 882-1461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00004217
AL
Other
Enumeration date
10/19/2005
Last updated
07/08/2007
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