Individual provider · Type 1 NPI

Amelia Layne Davidson, MD

Plastic and Reconstructive Surgery Physician · St. Louis, MO

NPI number 1174412977 Active

Practice location

1 Parkview Pl
St. Louis, MO 63110-1038

Call (919) 345-0866 Map

Mailing address

4451 Castleman Ave Apt 2W
St. Louis, MO 63110-3246

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X2025025876 (MO)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1174412977

Amelia Layne Davidson, MD's National Provider Identifier is 1174412977, issued on Jun 28, 2025. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in St. Louis, MO. The record was last updated on Jul 10, 2025.