Individual
PATRICIA L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1206 W 2ND ST, ROSWELL, NM 88201-2010
(505) 623-9330
(505) 623-5651
Mailing address
1206 W 2ND ST, ROSWELL, NM 88201-2010
(505) 623-9330
(505) 623-5651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81-38
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2907
—
NM
Enumeration date
05/20/2006
Last updated
09/18/2008
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