Individual
CARL RICHARD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1102 NE PARVIN ROAD, #302, KANSAS CITY, MO 64116
(816) 560-3322
Mailing address
1102 NE PARVIN ROAD, #302, KANSAS CITY, MO 64116
(816) 560-3322
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2006023528
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006023528
MEDICAL LICENSE NUMBER
MO
Enumeration date
08/28/2006
Last updated
07/08/2007
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