Individual
ALEX DAVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
Mailing address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209023412
IL
Other
Enumeration date
02/09/2021
Last updated
12/29/2021
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