Individual
DONALD DAVID DAVIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 LINCOLN DRIVE, HERRIN, IL 62948
(618) 997-6800
(618) 997-1187
Mailing address
510 LINCOLN DRIVE, HERRIN, IL 62948
(618) 997-6800
(618) 997-1187
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36171395
IL
207X00000X
Orthopaedic Surgery Physician
MD61380951
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2254777
—
WA
Enumeration date
04/20/2018
Last updated
12/10/2024
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