Individual
RICHARD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4630 AMBASSADOR CAFFERY PKWY STE 302, LAFAYETTE, LA 70508-6950
(337) 470-3580
(337) 470-3586
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0001
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
303582
LA
Other
Enumeration date
09/20/2016
Last updated
03/25/2021
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