Individual
DR. THOMAS E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9513 HIGHWAY 100, NEW HAVEN, MO 63068-1300
(573) 237-6100
(573) 437-8664
Mailing address
9513 HIGHWAY 100, NEW HAVEN, MO 63068-1300
(573) 237-6100
(573) 437-8664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101765
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080121830
RAILROAD MEDICARE
—
05
—
206946600
—
MO
01
—
P01134571
RAILROAD MEDICARE
MO
Enumeration date
02/09/2006
Last updated
04/02/2015
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