Individual
LAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5571 N 21ST ST, OZARK, MO 65721-7488
(417) 317-5330
Mailing address
5571 N 21ST ST, OZARK, MO 65721-7488
(417) 317-5330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020033962
MO
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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