Justin Davis
Justin Davis is a Student in an Organized Health Care Education/Training Program in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2019.
- Licensed in
- IL
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
747 N Rutledge StSpringfield, IL 62702-6700
Phone: (217) 545-6112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X · Licence 125.077838 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1437714375 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 6, 2019 |
| Last updated in NPPES | June 27, 2021 |
| Certification date | June 27, 2021 |
| Mailing address | Po Box 19653, Springfield, IL 62794-9653 |
Other providers in Springfield
-
Dr. Bryan Edward Combs, MD
415 N 9th St # 4W16, Springfield, IL 62702-5303 · (217) 545-8000
-
Alexis Corzine
801 N Rutledge St, Springfield, IL 62702-4933 · (217) 545-8000
-
Samantha M. Craig, CRNA
1025 S 6th St, Springfield, IL 62703-2403 · (217) 528-7541
-
Pranuthi Ratna Dasari, MD
520 N 4th St, Springfield, IL 62702-5238 · (217) 220-7073
-
Elizabeth Deitemyer
2501 Chatham Rd, Springfield, IL 62704-4188 · (312) 529-0679
-
Noah Brian Drewes, BS
801 N Rutledge St, Springfield, IL 62702-4933 · (217) 545-8000
-
Stephanie Dunn
3129 Superior Dr, Springfield, IL 62707-9378 · (217) 816-2640
-
Dr. Myto Duong, MB, BCH, BAO
800 E Carpenter St, Springfield, IL 62769-1000 · (217) 545-7409