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1720536618
RICHARD DAVIS
LAFAYETTE, LA
NPI
1720536618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: LA 303582)
Enumeration Date
2016-09-20
Last Update Date
2021-03-25
Business Address
RICHARD DAVIS PA
4630 AMBASSADOR CAFFERY PKWY STE 302
LAFAYETTE, LA 70508-6950
Phone number: 337-470-3580
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Mailing Address
RICHARD DAVIS PA
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 225-526-0001
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