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Justin Davis
NPI 1437714375 · on the registry since 2019
Practice
- Address
- 747 N Rutledge St
Springfield, IL 62702 - Phone
- (217) 545-6112
- Organisation at this address
- Walgreen Co
Women'S Healthcare, Llc
Healthcare Network Associates
Siu Physicians & Surgeons, Inc
Siu Physicians & Surgeons, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 125
Registry record
- Primary taxonomy
- 2086S0122X
2086S0122X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois