Individual
CHAD RUSSELL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
11102 LINDBERGH BUSINESS CT, SAINT LOUIS, MO 63123-7810
(314) 206-3400
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
07/21/2022
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