Individual
DR. JEFFREY MICHAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3015 N BALLAS RD, DEPT EMERGENCY MEDICINE, SAINT LOUIS, MO 63131-2329
(314) 966-5000
(314) 747-3338
Mailing address
660 S EUCLID AVE, CB 8072, SAINT LOUIS, MO 63110-1010
(314) 996-5225
(314) 991-0943
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2013030518
MO
208D00000X
General Practice Physician
2013030518
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200012969
—
MO
Enumeration date
10/25/2006
Last updated
12/20/2021
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