Individual
BRANDON L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4224 HOUMA BLVD STE 430, METAIRIE, LA 70006-2937
(504) 888-7771
(504) 888-9388
Mailing address
1 HOLYLAND DR, METAIRIE, LA 70006-1055
(504) 888-7771
(504) 888-9388
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
21052
MS
207W00000X
Ophthalmology Physician
Primary
MD201500
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03183371
—
MS
05
—
1014621
—
LA
Enumeration date
05/10/2007
Last updated
09/27/2011
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