Individual
RYAN M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5770
(573) 331-3974
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
114168
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110232380
RAILROAD MEDICARE
—
01
—
152071
BCBS
—
05
—
204695217
—
MO
01
—
470335
HEALTHLINK
—
05
—
64069933
—
KY
Enumeration date
05/12/2006
Last updated
01/22/2021
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