Gregg E Davis Md Ltd

NPI 1447481908 - Clinic/Center - 261QP2300X

NPI Details
NPI 1447481908
Enumeration Date 07/31/2009
Last Updated 07/31/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GREGG E GREGG
Position CEO
Phone (815) 879-3212
Fax (815) 879-8602
Practice Location
204 PARK AVE E
PRINCETON IL, 61356-2114, US
Phone (815) 879-3212
Fax (815) 879-8602
Business Location
204 PARK AVE E
PRINCETON IL, 61356-2114, US
Phone (815) 879-3212
Fax (815) 879-8602
Toxanomy
Taxonomy Code 261QP2300X
License State Illinois
License Number 036-058885
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According to our database, Gregg E Davis Md Ltd NPI is 1447481908, taxonomy code is 261QP2300X and license number is 036-058885, license state is located at Illinois. Gregg E Davis Md Ltd physically located at 204 Park Ave E, Princeton IL, 61356-2114. NPI Number 1033115704 has the healthcare provider type.

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1447481908 NPI number is provided on an as is basis without warranty of any kind. 1447481908 is maintained by the National Plan & Provider Enumeration System. The contents of Gregg E Davis Md Ltd are for informational purposes only.