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Organization
BRYAN C. DAVIS, M.D., P.A.
Active
Organization
BRYAN C. DAVIS, M.D., P.A.
Active
Other names
Family Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN C. DAVIS M.D. (OWNER)
(620) 221-9500
Entity
Organization
Contact information
Practice address
1305 E 19TH AVE, WINFIELD, KS 67156-5201
(620) 221-9500
(620) 221-3700
Mailing address
1305 E 19TH AVE, WINFIELD, KS 67156-5201
(620) 221-9500
(620) 221-3700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-27652
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100327700C
—
KS
01
—
130330
BC/BS OF KANSAS
KS
01
—
336640
FIRSTGUARD
KS
Enumeration date
08/18/2006
Last updated
08/29/2011
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