Individual
DR. DAVEY L PROUT JR.
Active
Individual
DR. DAVEY L PROUT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.202942
LA
207RC0000X
Cardiovascular Disease Physician
MD.202942
LA
207RI0011X
Interventional Cardiology Physician
Primary
MD.202942
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05132864
—
MS
05
—
1159328
—
LA
Enumeration date
06/05/2008
Last updated
01/08/2019
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