Individual
ALVIN V DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
26730
OK
2085R0202X
Diagnostic Radiology Physician
2006008741
MO
2085R0202X
Diagnostic Radiology Physician
Primary
N1607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200223770
—
OK
05
—
200782502
—
TX
05
—
201048907
—
MO
Enumeration date
05/26/2006
Last updated
05/15/2014
Update your record
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