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Jason Scott Davis, MD
Diagnostic Ultrasound Physician in Normal, Illinois
NPI 1982639621

Jason Scott Davis is a Diagnostic Ultrasound Physician based in Bloomington, IL and is specialized in Diagnostic Ultrasound. Jason Scott Davis practices in Normal, IL and has the professional credentials of MD. The NPI Number for Jason Scott Davis is 1982639621 and holds a License No. 281929 (Illinois).

The current practice location address for Jason Scott Davis is 2200 Fort Jesse Rd, Normal, IL and can be reached out via phone at 309-664-3491.

Location: 2200 Fort Jesse Rd, Normal, IL, 61701-2016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982639621
Provider Name
Jason Scott Davis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2200 Fort Jesse Rd, Normal, IL, 61701-2016
Phone Number
309-664-3491
Fax Number
Provider Enumeration Date
07/11/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL2613 01 MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
2200 Fort Jesse Rd
City
Normal
State
Illinois
Zip
61761-6286
Phone Number
309-664-3491
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Fort Jesse Rd
City
Normal
State
Illinois
Zip
61761-6286
Phone Number
309-664-3491
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD2018-0966 (New Mexico)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
281929 (Massachusetts)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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