Individual
CHAD E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1098 S STATE ROAD 25, LOGANSPORT, IN 46947-6723
(574) 722-4141
(574) 735-3414
Mailing address
1098 S STATE ROAD 25, LOGANSPORT, IN 46947-6723
(574) 722-4141
(574) 735-3414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002747A
IN
Other
Enumeration date
07/23/2008
Last updated
09/15/2008
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