Individual
DR. PAMELA D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1601 N HIGHWAY 7, PLEASANT HILL, MO 64080-1945
(816) 540-2111
(816) 540-6065
Mailing address
1601 N HIGHWAY 7, PLEASANT HILL, MO 64080-1945
(816) 540-2111
(816) 540-6065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001002804
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28581041
BCBS
—
01
—
706A949
MEDICARE INDIVIDUAL
—
Enumeration date
06/20/2005
Last updated
03/03/2008
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