Individual
DR. MEADE O DAVIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
433 E 19TH ST, CHEYENNE, WY 82001-4643
(307) 634-0871
(307) 638-4054
Mailing address
PO BOX 20639, CHEYENNE, WY 82003-7014
(307) 634-0871
(307) 638-4054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2428A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106425800
—
WY
Enumeration date
06/27/2005
Last updated
06/16/2008
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