Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD-45498 | IA |
N | 2080P0208X | Pediatric Infectious Diseases | 60792-20 | WI |
Y | 2080P0208X | Pediatric Infectious Diseases | MD-45498 | IA |
NPI | 1194042382 |
---|---|
Provider Name | Dr. James Muse Davis III |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2010 |
Last Update Date | 14/08/2018 |