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Individual

ROBERT LYLE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1201 WEST 12TH AVENUE, EMPORIA, KS 66801-2531
(620) 343-6800
Mailing address
1110 W 6TH AVE, EMPORIA, KS 66801-2531
(620) 342-8748
(620) 342-0783

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55128
KS

Other

Enumeration date
02/08/2006
Last updated
05/12/2011
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