Individual
STEVEN DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 S WHITE ST, MT PLEASANT, IA 52641-2262
(319) 385-6158
Mailing address
1970 E 53RD ST, SUITE 2, DAVENPORT, IA 52807-2710
(563) 359-3949
(563) 355-1159
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29562
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125575
—
IA
01
—
54496
BLUE CROSS BLUE SHEILD IA
IA
Enumeration date
03/16/2006
Last updated
07/08/2007
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