Individual
DR. JAMES R DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19654 PROMISE RD, NOBLESVILLE, IN 46060-9179
(317) 430-7636
Mailing address
19654 PROMISE RD, NOBLESVILLE, IN 46060-9179
(317) 430-7636
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
33498
KY
2084P0800X
Psychiatry Physician
Primary
01024043A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000272841
ANTHEM
IN
05
—
100360240
—
IN
05
—
64343981
—
KY
Enumeration date
08/29/2006
Last updated
12/18/2015
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