Most Relevant Information
Provider Data
| NPI Number: | 1003174004 |
| Provider Name: | SUSAN J. DAVIS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 34741 |
Most Important Dates
| Enumeration Date: | 04/26/2012 |
| Last Updated: | 11/03/2020 |
Provider Practice Location
1345 SMIZER MILL RD STE 1100
FENTON
MO
630267305
Practice Location Phone/Fax
| Phone: | 6364965023 |
| Fax: |
Provider Mailing Location
PO BOX 955534
SAINT LOUIS
MO
631955534
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Family Practice EMR