Individual
PAULA JANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 SW ARBORWALK BLVD, SUITE A, LEES SUMMIT, MO 64082-4101
(816) 537-6323
Mailing address
1301 SW ARBORWALK BLVD, SUITE A, LEES SUMMIT, MO 64082-4101
(816) 537-6323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005021803
MO
207Q00000X
Family Medicine Physician
20697
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100158720 G
—
KS
05
—
208633107
—
MO
Enumeration date
05/11/2006
Last updated
07/29/2009
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