Melissa Joy Davison, MD

Individual provider Active NPI Interventional Pain Medicine Physician · Troy, MO

NPI 1619543782 · NPPES record last updated May 31, 2021

Key facts

NPI
1619543782
Entity type
Individual (NPI type 1)
Primary specialty
Interventional Pain Medicine Physician 208VP0014X
License
2018016393 (MO)
Practice address
60 Business Park Dr
Troy, MO 63379-2827
Phone
(888) 796-6615
NPI assigned
May 31, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 2018016393 MO Yes

Addresses

Primary practice location

60 Business Park Dr
Troy, MO 63379-2827

Mailing address

60 Business Park Dr
Troy, MO 63379-2827
Phone (888) 796-6615

Other providers in Troy, MO

All providers in Troy, MO · Interventional Pain Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.