Organization
LEON N DAVIS MD PC
Active
Other names
Extended Arm Physicians Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LEON NOLAN DAVIS JR. MD (PRESIDENT OWNER)
(334) 262-2071
Entity
Organization
Contact information
Practice address
1725 W 4TH ST, MONTGOMERY, AL 36106
(334) 262-2071
(334) 269-9777
Mailing address
PO BOX 230577, MONTGOMERY, AL 36123-0577
(334) 262-2071
(334) 262-2832
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00016726
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000022924
—
AL
01
—
051022924
BCBS OF AL
AL
Enumeration date
03/29/2006
Last updated
04/16/2020
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