WILLIE BOB DAVIS

OLATHE, KS
NPI1659376952
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: KS  04-17213)
Additional Taxonomies207Q00000X Family Medicine
(Licence: KS  KS 04-17213)
207Q00000X Family Medicine
(Licence: MO  MO R5059)
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO  R5059)
208D00000X General Practice
(Licence: KS  04-17213)
Enumeration Date2005-06-15
Last Update Date2022-04-19
Business Address
Dr. WILLIE BOB DAVIS ME
20333 W 151ST ST
OLATHE, KS 66061-5350
Phone number: 913-791-4408
Mailing Address
Dr. WILLIE BOB DAVIS ME
5800 FOXRIDGE DR STE 240
MISSION, KS 66202-2338
Phone number: 913-261-3153