Individual
DR. LARRY JON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7840 NATURAL BRIDGE, PATIENT CARE CENTER, SAINT LOUIS, MO 63121
(314) 516-5131
(314) 516-5507
Mailing address
ONE UNIVERSITY BLVD, PATIENT CARE CENTER, ST LOUIS, MO 63121
(314) 516-5131
(314) 516-5507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02724
MO
Other
Enumeration date
08/30/2006
Last updated
06/10/2020
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