Individual provider · Type 1 NPI

Willie Bob Davis, ME

Diagnostic Radiology Physician · Olathe, KS

NPI number 1659376952 Active

Practice location

20333 W 151st St
Olathe, KS 66061-5350

Fax (913) 791-4438

Mailing address

5800 Foxridge Dr, Ste 240
Mission, KS 66202-2338

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XKS 04-17213 (KS)
Family Medicine Physician 207Q00000XMO R5059 (MO)
Diagnostic Radiology Physician 2085R0202XR5059 (MO)
General Practice Physician 208D00000X04-17213 (KS)
Diagnostic Radiology Physician Primary 2085R0202X04-17213 (KS)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1659376952

Willie Bob Davis, ME's National Provider Identifier is 1659376952, issued on Jun 15, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Olathe, KS. The record was last updated on Apr 19, 2022.