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Individual

DR. ALLISON K DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1011 BOWLES AVENUE, SUITE 425, FENTON, MO 63026
(636) 496-5080
(636) 496-5095
Mailing address
1011 BOWLES AVENUE, SUITE 425, FENTON, MO 63026
(636) 496-5080
(636) 496-5095

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2017020376
MO
208600000X
Surgery Physician
27401
OK
390200000X
Student in an Organized Health Care Education/Training Program
LL1436
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200045083
MO
01
27401
MEDICAL LICENSE
OK
01
LL1436
MEDICAL LICENSE
NV
Enumeration date
03/16/2007
Last updated
03/07/2023
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