IndividualActive
Elijah Davis, D.P.M
NPI 1265545966 · Foot Surgery Podiatrist · St. Joseph, MO
Provider details
- NPI number
- 1265545966
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M
- Sex
- Male
- Sole proprietor
- No
- License
- 316 (NE)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
5202 Faraon St.
Ste. a
St. Joseph, MO 64506-3480
Phone: (816) 271-1067
Fax: (816) 271-1071
Approximate (ZIP-level) locationGet directions
Mailing address
5202 Faraon St.
St. Joseph, MO 64506-3480
Additional practice locations (1)
- 2301 Holmes StKansas City, MO 64108-2640Phone: (816) 404-0044Fax: (816) 404-0040
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2020-11-11
- Certified
- 2020-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.