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Organization

PAMELA F DAVIS, MD,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA F DAVIS M.D. (PRESIDENT)
(563) 355-2210
Entity
Organization

Contact information

Practice address
4622 PROGRESS DRIVE, SUITE C, DAVENPORT, IA 52807
(563) 355-2210
Mailing address
4622 PROGRESS DRIVE, SUITE C, DAVENPORT, IA 52807
(563) 355-2210

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
29871
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1957696
IA
Enumeration date
09/26/2006
Last updated
12/14/2012
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