Individual
DR. JOHN DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 JOHN DEERE RD, SUITE 401, MOLINE, IL 61265-6869
(309) 779-3627
(309) 779-4500
Mailing address
600 JOHN DEERE RD, SUITE 401, MOLINE, IL 61265-6869
(309) 779-3627
(309) 779-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036053919
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053919
—
IL
05
—
036053919002
—
IA
05
—
0579458
—
IA
01
—
110112638
RR MEDICARE
—
01
—
143158
IHS
—
05
—
1437123064
—
IA
05
—
1579458
—
IA
01
—
94027
BCWELLMARK
—
01
—
IL0182
JOHN DEERE
—
01
—
P01122700
RR MEDICARE
IL
Enumeration date
02/13/2006
Last updated
02/05/2015
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