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Organization
B J DAVIS DOPC
Active
Organization
B J DAVIS DOPC
Active
Parent organization
B J DAVIS DOPC
Organization subpart
Yes
Provider details
NPI number
Legal business name
B J DAVIS DOPC
Authorized official
DR. B J DAVIS DO (OWNER)
(505) 883-8099
Entity
Organization
Contact information
Practice address
3804 MONTGOMERY NE, ALBUQURQUE, NM 87109
(505) 883-8099
(505) 883-8060
Mailing address
3804 MONTGOMERY NE, ALBUQURQUE, NM 87109
(505) 883-8099
(505) 883-8060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A40958
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41723
—
NM
Enumeration date
11/16/2006
Last updated
02/08/2011
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