DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELISSA DAVIS, M.D.

Active

ELISSA DAVIS, M.D. is a Orthopaedic Surgery of the Spine healthcare provider located in BELLEVILLE, Illinois. NPI 1629496203 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery of the Spine · BELLEVILLE, IL

Registration Details

NPI Number
1629496203
Provider Type
Individual
Gender
Female
NPI Issued
Apr 1, 2014 (12.409643446124 yrs)
Last Updated
Feb 26, 2021
Licenses
036152355 (IL)
4301117482 (MI)
036152355 (IL)

Practice Information

Address
4700 MEMORIAL DR STE 350
BELLEVILLE, IL, 622265373
Browse IL providers · Browse ZIP 62226
Phone
6182124414
Fax
6182359020
Primary Specialty
Orthopaedic Surgery of the Spine
207XS0106X

Other Orthopaedic Surgery of the Spine Providers in BELLEVILLE, IL

Name Credential NPI
TIMOTHY J LEEBURTON M.D. 1104823574
DR. HARVEY LEE MIRLY M.D. 1447203971
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.