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Individual

MR. CHAD D DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A. - C

Contact information

Practice address
500 8TH AVE SE, CEDAR RAPIDS, IA 52401-2134
(319) 364-8704
(319) 365-7747
Mailing address
500 8TH AVE SE, CEDAR RAPIDS, IA 52401-2134
(319) 364-8704
(319) 365-7747

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001524
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35956
BLUE CROSS BLUE SHIELD
IA
Enumeration date
11/04/2006
Last updated
07/08/2007
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