JONATHON SAMUEL DAVIS DO
Individual Provider (NPI-1)
Active
Internal Medicine, Critical Care Medicine
Provider Information
- NPI Number
1063040590- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 550 N HILLSIDE ST, WICHITA, KS, 672144976
- Phone
- (503) 413-7074
- Fax
- (503) 413-6892
Specialties & Taxonomies
Internal Medicine, Critical Care Medicine
Primary License: KS #05-50922