Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIJAH LORENZO DAVIS, D.P.M
ActiveELIJAH LORENZO DAVIS, D.P.M is a Foot Surgery Podiatrist healthcare provider located in ST. JOSEPH, Missouri. NPI 1265545966 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · ST. JOSEPH, MO
Registration Details
- NPI Number
- 1265545966
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2006 (19.981339449183 yrs)
- Last Updated
- Nov 11, 2020
- Licenses
-
316 (NE)1200374 (KS)2208014928 (MO)
Practice Information
- Address
-
5202 FARAON ST.STE. AST. JOSEPH, MO, 645063480Browse MO providers · Browse ZIP 64506
- Phone
- 8162711067
- Fax
- 8162711071
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
- Additional Specialty
- Foot Surgery Podiatrist
- Additional Specialty
- Foot Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.