Individual
DR. DAWN MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
100 S CENTRAL AVE, CLAYTON, MO 63105-1709
(314) 615-5756
Mailing address
1008 S. SPRING, SLUCARE ACADEMIC PAVILION, 3RD FLOOR, SAINT LOUIS, MO 63110
(314) 251-8888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015020286
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015020286
MO BOARD OF HEALING ARTS
MO
Enumeration date
08/28/2008
Last updated
11/06/2020
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