Individual
ERIC K DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
611 W MAIN ST, FREDERICKTOWN, MO 63645-1111
(573) 783-4111
(573) 783-1096
Mailing address
611 W MAIN ST, FREDERICKTOWN, MO 63645-1111
(573) 783-5480
(573) 783-1096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
114326
MO
Other
Enumeration date
12/01/2006
Last updated
02/27/2009
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