Individual
MR. JOHN C DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12255 DE PAUL DR, SUITE 490, BRIDGETON, MO 63044-2510
(314) 291-7766
(314) 291-7767
Mailing address
12255 DE PAUL DR, SUITE 490, BRIDGETON, MO 63044-2510
(314) 291-7766
(314) 291-7767
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R7C02
MO
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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