Individual
MICHELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
525 BRANSON LANDING, STE 508, BRANSON, MO 65616-2131
(417) 335-7540
(417) 335-7544
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-7241
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2016021059
MO
208000000X
Pediatrics Physician
94-08241
KS
Other
Enumeration date
06/24/2013
Last updated
07/21/2022
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