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Individual

DR. CATHERINE SUZANNE DAVIS

Active
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Individual

DR. CATHERINE SUZANNE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
28923
NE
208000000X
Pediatrics Physician
28923
NE
208000000X
Pediatrics Physician
Primary
83694
SC
208D00000X
General Practice Physician
28923
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
836947
—
SC
01
—
SCK5265019
MEDICARE PIN
SC
01
—
SCK526H895
MEDICARE PIN
SC
01
—
SCK526J577
MEDICARE PIN
SC
Enumeration date
04/22/2014
Last updated
03/14/2023
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