Individual provider · Type 1 NPI
Elijah Lorenzo Davis, D.P.M
Foot Surgery Podiatrist · St. Joseph, MO
NPI number
1265545966
Active
Practice location
5202 Faraon St., Ste. A
St. Joseph, MO 64506-3480
Fax (816) 271-1071
Other practice locations
- 2301 Holmes St, Kansas City, MO 64108-2640 · (816) 404-0044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 316 (NE) |
| Foot Surgery Podiatrist | 213ES0131X | 1200374 (KS) |
| Foot Surgery Podiatrist Primary | 213ES0131X | 2208014928 (MO) |
Foot Surgery Podiatrist: Definition to come...
Other foot surgery podiatrist providers in St. Joseph
About NPI 1265545966
Elijah Lorenzo Davis, D.P.M's National Provider Identifier is 1265545966, issued on Aug 16, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in St. Joseph, MO. The record was last updated on Nov 11, 2020.