Individual
MR. MATTHEW SCOTT DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
57950 LEAVENWORTH ST STE 4E1, MCCONNELL AFB, KS 67221-3506
(316) 759-3653
Mailing address
57950 LEAVENWORTH ST STE 4E1, MCCONNELL AFB, KS 67221-3506
(316) 759-3653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/26/2008
Last updated
09/16/2011
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