Raymond A. Davis, MD

Pediatrics Physician · Rockford, IL

Individual Active NPI

NPI number 1417067604

Practice location

2300 N Rockton Ave
Rockford, IL 61103-3619
Phone
(815) 971-2000

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NPI record

NPI
1417067604
Entity type
Individual (Type 1)
Enumeration date
August 30, 2006
Last updated
January 29, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 036-073340 IL

About Dr. Davis

Raymond A. Davis, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2300 N Rockton Ave, Rockford, IL 61103-3619. The NPI number 1417067604 was assigned on August 30, 2006 and the record was last updated on January 29, 2010.

Dr. Davis lists a license in the registry: #036-073340 (IL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Raymond A. Davis, MD?

The NPI number is 1417067604.

What is the phone number of Dr. Davis?

The phone number listed for the practice location is (815) 971-2000.

Where is Dr. Davis located?

2300 N Rockton Ave, Rockford, IL 61103-3619.

What is the taxonomy code for Dr. Davis?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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