David P Davis MD

NPI 1053302240 - Family Medicine - 207Q00000X

NPI Details
NPI 1053302240
Gender Male
Enumeration Date 11/04/2005
Last Updated 09/19/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
890 RIDGELAWN ROAD
MARTINSVILLE IL, 62442-0399, US
Phone (217) 382-4191
Fax (217) 382-4248
Business Location
890 RIDGELAWN ROAD
PO BOX 399
MARTINSVILLE IL, 62442-0399, US
Phone (217) 382-4191
Fax (217) 382-4248
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01039458A
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According to our database, David P Davis MD NPI is 1053302240, taxonomy code is 207Q00000X and license number is 01039458A, license state is located at Indiana. David P Davis MD physically located at 890 Ridgelawn Road, Martinsville IL, 62442-0399. NPI Number David P Davis MD has the Individual type.

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1053302240 NPI number is provided on an as is basis without warranty of any kind. 1053302240 is maintained by the National Plan & Provider Enumeration System. The contents of David P Davis MD are for informational purposes only.