Individual
DR. JEFF P DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12115 E 21ST ST N, SUITE 107, WICHITA, KS 67206-3567
(316) 440-7000
(316) 440-7006
Mailing address
12115 E 21ST ST N, SUITE 107, WICHITA, KS 67206-3567
(316) 440-7000
(316) 440-7006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-30240
KS
Other
Enumeration date
06/09/2006
Last updated
06/12/2014
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