Individual
DR. ERNEST EDMUND DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNITED STATES DEPARTMENT OF STATE, M/MED/QI, 2401 E. STREET, NW, SA-1, WASHINGTON, DC 20522-0102
(202) 662-1682
(202) 663-3673
Mailing address
UNITED STATES DEPARTMENT OF STATE, M/MED/QI, 2401 E. STREET, NW, SA-1, WASHINGTON, DC 20522-0102
(202) 662-1682
(202) 663-3673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R9N10
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9N10
MEDICAL LICENSE
MO
Enumeration date
09/07/2006
Last updated
07/08/2007
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