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Individual

DR. JOHN ALBERT DAVIDSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
232 S WOODS MILL RD, DIVISION OF HYPERBARIC MEDICINE & PROBLEM WOUND MGMT, CHESTERFIELD, MO 63017-3417
(314) 205-6818
(314) 205-6770
Mailing address
PO BOX 929, CHESTERFIELD, MO 63006-0929
(314) 205-6818
(314) 205-6770

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8881
MO
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
R8881
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105889
HEALTHLINK PPO
MO
01
35170
GROUP HEALTH PLAN
MO
01
35583
BLUE SHIELD MO
MO
01
4409
CARE MGMT RESOURCES
MO
01
7600560
UNITED HEALTHCARE MIDWEST
MO
01
7992
BLUE SHIELD MO
MO
01
A09884
MERCY HEALTH PLAN
MO
Enumeration date
09/30/2005
Last updated
09/11/2025
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