Individual provider · Type 1 NPI

Casey Leigh Davis, PA-C

Surgical Physician Assistant · St. Louis, MO

NPI number 1710201272 Active

Practice location

2325 Dougherty Ferry Rd Ste 100
St. Louis, MO 63122-3356

Fax (314) 909-1370

Mailing address

2325 Dougherty Ferry Rd, Suite 100
St. Louis, MO 63122-3356

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X085.003693 (IL)
Physician Assistant 363A00000X085.003693 (IL)
Physician Assistant 363A00000X2011030386 (MO)
Surgical Physician Assistant Primary 363AS0400X2011030386 (MO)

Surgical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1710201272

Casey Leigh Davis, PA-C's National Provider Identifier is 1710201272, issued on Mar 26, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Louis, MO. The record was last updated on Jan 31, 2014.