Individual
SHELDON LEONARD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
226 S WOODS MILL RD STE 48W, CHESTERFIELD, MO 63017-3663
(314) 576-7503
(314) 576-2150
Mailing address
226 S WOODS MILL RD STE 48W, CHESTERFIELD, MO 63017-3663
(314) 576-7503
(314) 576-2150
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
R5753
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05556
BLUE CROSS BLUE SHIELD
MO
05
—
201334901
—
MO
Enumeration date
10/04/2006
Last updated
04/12/2018
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