Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 31757 | WI |
NPI | 1205037215 |
---|---|
Provider Name | Dr. Mary P Davis |
First Address | Downingtown, PA 19335-1495 |
Second Address | Downingtown, PA 19335-1495 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 08/03/2021 |