Individual
MATTHEW J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-0440
Mailing address
245 GREENWAY CIR, DEERFIELD, WI 53531-9360
(608) 228-7674
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
63085
TN
208000000X
Pediatrics Physician
68760-20
WI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
63085
TN
Other
Enumeration date
04/29/2015
Last updated
07/09/2021
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