Individual
WAYNE EARL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3600 AMRON CT, COLUMBIA, MO 65202-1918
(573) 874-1616
(573) 875-0300
Mailing address
3600 AMRON CT, COLUMBIA, MO 65202-1918
(573) 874-1616
(573) 875-0300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2015006386
MO
207WX0107X
Retina Specialist (Ophthalmology) Physician
2015006386
MO
Other
Enumeration date
07/28/2009
Last updated
04/10/2017
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