Individual
DR. SHANE MICHAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5631
Mailing address
800 WASHINGTON ST # 306, BOSTON, MA 02111-1552
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
292836
MA
Other
Enumeration date
04/11/2017
Last updated
11/15/2022
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