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1790891851
BRIAN A DAVIS
SPRINGFIELD, MO
NPI
1790891851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2004002413)
Enumeration Date
2006-08-22
Last Update Date
2016-01-22
Business Address
Mr. BRIAN A DAVIS PA-C
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2115
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Mailing Address
Mr. BRIAN A DAVIS PA-C
PO BOX 504274
SAINT LOUIS, MO 63150-4274
Phone number: 417-829-4620
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