Justin Davis

NPI #1437714375 in Springfield, Illinois

Provider Information

NPI Number
1437714375
Entity Type
Individual
Name
Justin Davis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Surgery - Plastic and Reconstructive Surgery
Enumeration Date
May 6, 2019
Last Updated
Jun 27, 2021

Practice Location

Address
747 N RUTLEDGE ST
ZIP Code
62702-6700
Phone
(217) 545-6112

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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