Susan J. Davis
Family Doctor
1345 Smizer Mill Rd Ste 1100
Fenton
, Missouri 63026-7305
Susan J. Davis
Family Doctor
1345 Smizer Mill Rd Ste 1100
Fenton
, Missouri 63026-7305
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Susan J. Davis
- Po Box 955534
- Saint Louis, MO
- Zip : 63195-5534
- Phone :
Second Address
- Susan J. Davis
- 1345 Smizer Mill Rd Ste 1100
- Fenton, MO
- Zip : 63026-7305
- Phone : (636) 496-5023
Reviews
FAQs
Where did Susan J. Davis attend graduate school?
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What type of doctor is Susan J. Davis
In what state does Susan J. Davis practice in?
Where is Susan J. Davis ’s practice located?
What is Susan J. Davis ’s gender?
Is Susan J. Davis a sole practitioner?
Is Susan J. Davis accepting new patients?
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What is Susan J. Davis ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 2016009600 | MO |
| N | 207Q00000X | Family Doctor | 34741 | SC |
National Provider Identifier
| NPI | 1003174004 |
|---|---|
| Provider Name | Susan J. Davis |
| First Address | Saint Louis, MO 63195-5534 |
| Second Address | Fenton, MO 63026-7305 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2012 |
| Last Update Date | 03/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 347413 | (05) | SC |
| P01593526 | RAILROAD MEDICARE (01) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.