Individual
DR. DARWIN L DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2002 KANELL BLVD, SUITE 103, POPLAR BLUFF, MO 63901-4045
(573) 727-9130
(573) 727-9128
Mailing address
PO BOX 989, POPLAR BLUFF, MO 63902-0989
(573) 778-0020
(573) 776-7548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
100921
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17094
BLUE CROSS BLUE SHIELD
MO
05
—
596059709
—
MO
Enumeration date
04/19/2006
Last updated
02/28/2012
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