Individual
DR. HENRY J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2723 S 7TH ST, SUITE P, TERRE HAUTE, IN 47802-3562
(812) 232-8594
(812) 232-5565
Mailing address
2723 S 7TH ST, SUITE A, TERRE HAUTE, IN 47802-3558
(812) 238-1730
(812) 242-1565
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
01044622A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200084240
—
IN
01
—
660002905
RAILROAD MEDICARE
IN
Enumeration date
02/14/2006
Last updated
07/15/2014
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