Individual
MR. DEREK GAVIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
433 PLAZA ST, BOGALUSA, LA 70427-3729
(985) 730-6700
Mailing address
433 PLAZA ST, BOGALUSA, LA 70427-3729
(985) 730-6700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP05507
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
R873427
MS
Other
Enumeration date
06/30/2008
Last updated
05/14/2026
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