Individual
WILLIAM ANTHONY DAVIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
426 S ALABAMA ST, INDIANAPOLIS, IN 46225
(317) 528-2489
(317) 528-3770
Mailing address
426 S ALABAMA ST, INDIANAPOLIS, IN 46225-3301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02004818A
IN
207Q00000X
Family Medicine Physician
04316
KY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
02004818A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100594970
—
KY
01
—
K270520-KOHMG
KY MEDICARE
KY
Enumeration date
07/02/2013
Last updated
12/03/2020
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