Individual
CODY W. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
RR 1 BOX 40D, ELLSINORE, MO 63937-9705
(573) 593-4157
Mailing address
RR 1 BOX 40D, ELLSINORE, MO 63937-9705
(573) 593-4157
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2002002010
MO
Other
Enumeration date
10/10/2005
Last updated
10/09/2013
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