Doctor Name: | DR. TAMME DAVIS |
NPI Number: | 1023225885 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 2004015322 |
Business Practice Address: | 120 Sw 2nd Ave Ava, MO - 65608 |
Business Phone Number: | 4176836790 |
Business Fax Number: | 4176836770 |
Mailing Address: | 3282 W Parkhaven Bnd, SPRINGFIELD |
State: | MO |
Postal Code: | 658101970 |
Phone Number: | 4178774608 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 2004015322 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |