Individual provider · Type 1 NPI

Justin Ryan Davis

Other Specialist/Technologist · Hammond, LA

NPI number 1740630904 Active

Practice location

12561 Wardline Rd
Hammond, LA 70401-6212

Call (985) 520-5697 Map

Mailing address

PO Box 2162
Hammond, LA 70404-2162

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

17 other providers at this address

About NPI 1740630904

Justin Ryan Davis's National Provider Identifier is 1740630904, issued on Jun 20, 2016. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Hammond, LA. The record was last updated on Jun 20, 2016.