John Davis SR.

NPI #1396174751 in O Fallon, Illinois

Provider Information

NPI Number: 1396174751
Entity Type: Individual
Name: John Davis SR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Nov 6, 2013
Last Updated: Nov 6, 2013

Practice Location

Address: 339 KINGS RIDGE BLVD
City: O Fallon
State: Illinois
ZIP Code: 62269-6327
Phone: (618) 624-2969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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