Justin Davis is a plastic and reconstructive surgery surgery in Springfield, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. Justin Davis NPI is 1437714375. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
747 N RUTLEDGE ST
SPRINGFIELD, IL
ZIP 62702-700
Phone: (217) 545-6112
The NPI 1437714375 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/6/2019 and was last updated on 6/27/2021.