Organization
WILLIAM DAVIS MD INC
Active
Other names
MOBILE PHYSICIAN SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
FRED E SUFFICOOL (MANAGER)
(619) 401-7913
Entity
Organization
Contact information
Practice address
1663 GREENFIELD DR, EL CAJON, CA 92021-3520
(619) 401-7913
(619) 401-7916
Mailing address
1663 GREENFIELD DR, EL CAJON, CA 92021-3520
(619) 401-7913
(619) 401-7916
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
R052467
CA
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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