Individual
DR. JAMES R DAVIS
Active
Individual
DR. JAMES R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02004167A
IN
207X00000X
Orthopaedic Surgery Physician
036076015
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000808791
ANTHEM
IN
05
—
036076015
—
IL
01
—
200019369
COMMERCIAL
IL
01
—
3160469577
BCBS
IL
Enumeration date
03/29/2006
Last updated
05/03/2013
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