NPI 1053549139

Jon C Davis, MD

Practitioner Dermatology Physician Evansville, IN

Practice location

Address: 120 SE 4th St, Evansville, IN 47708-1607
Phone: (812) 426-9355
Fax: (812) 858-4539
Mailing address: PO Box 3868, Evansville, IN 47737-3868

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 01072503A (IN)

Other Dermatology providers in Indiana →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 56569 (KY)

Registry record

NPI: 1053549139
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2009
Record last updated: 27 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.