Individual
DR. RICHARD PERRY DAVIS
Active
Individual
DR. RICHARD PERRY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.054799
IL
2085R0202X
Diagnostic Radiology Physician
Primary
ME120255
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.1275555
STATE OF ILLINOIS, DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
—
125.054799
TEMPORARY MEDICAL LICENSE
IL
Enumeration date
04/20/2009
Last updated
06/27/2014
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