Individual
DR. JOHN ALLEN DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
995 ROBERT BLVD, SLIDELL, LA 70458-2009
(985) 520-0909
Mailing address
PO BOX 1224, SLIDELL, LA 70459-1224
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
019868
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1384925
—
LA
Enumeration date
09/29/2006
Last updated
03/23/2021
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