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Individual

DR. TROY A DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1220 MISSOURI AVE, PATHOLOGY DEPT, JEFFERSONVILLE, IN 47130-3725
(502) 456-6212
(502) 456-4440
Mailing address
1941 BISHOP LN STE 1018, LOUISVILLE, KY 40218-1928
(502) 456-6211
(502) 456-4440

Taxonomy

Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
01076475A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01076475A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000999127
ANTHEM
KY
05
201361220A
IN
01
50110088
PASSPORT
KY
05
7100167180
KY
01
P01818955
MEDICARE RR
IN
Enumeration date
04/16/2010
Last updated
02/19/2021
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