Individual
EVAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
156 ROSELEAH AVE, NEWINGTON, CT 06111-2055
(860) 614-2122
Mailing address
156 ROSELEAH AVE, NEWINGTON, CT 06111-2055
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
000721
CT
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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