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Susan J. Davis, MD
Family Medicine Physician in Fenton, Missouri
NPI 1003174004

Susan J. Davis is a Family Medicine Physician based in Saint Louis, MO. Susan J. Davis practices in Fenton, MO and has the professional credentials of MD. The NPI Number for Susan J. Davis is 1003174004 and holds a License No. 34741 (Missouri).

The current practice location address for Susan J. Davis is 1345 Smizer Mill Rd Ste 1100, Fenton, MO and can be reached out via phone at 636-496-5023.

Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO, 63195-5534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003174004
Provider Name
Susan J. Davis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1345 Smizer Mill Rd Ste 1100, Fenton, MO, 63195-5534
Phone Number
636-496-5023
Fax Number
Provider Enumeration Date
04/26/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
347413 05 SC
P01593526 01 SC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1345 Smizer Mill Rd Ste 1100
City
Fenton
State
Missouri
Zip
63026-7305
Phone Number
636-496-5023
Fax Number
person
Provider Business Mailing Address Details
Address
1345 Smizer Mill Rd Ste 1100
City
Fenton
State
Missouri
Zip
63026-7305
Phone Number
636-496-5023
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
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Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
34741 (South Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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