Individual
JEFFREY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 MEMORIAL AVE, CUMBERLAND, MD 21502-3765
(301) 723-4070
Mailing address
PO BOX 1974, FREDERICK, MD 21702-0974
(866) 668-6303
(301) 663-1703
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D35318
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930067981
RAILROAD MEDICARE
MD
Enumeration date
09/27/2006
Last updated
01/07/2010
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