Organization
DAVIS FAMILY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYTHE A DAVIS APN (OWNER/APN)
(816) 233-7258
Entity
Organization
Contact information
Practice address
1335 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 233-7258
Mailing address
1335 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 233-7258
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014005307
MO
Other
Enumeration date
05/17/2015
Last updated
05/17/2015
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