# MIRYAM M DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1609949254
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | MD4085 | DC | Yes |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician | MD4085 | DC | — |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 12/12/2016
