Individual
MECHERY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 TOLL GATE RD, SUITE # LL6, WARWICK, RI 02886-4416
(401) 732-8700
(401) 732-0079
Mailing address
300 TOLL GATE RD, SUITE # LL6, WARWICK, RI 02886-4416
(401) 732-8700
(401) 732-0079
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD10003
RI
207R00000X
Internal Medicine Physician
Primary
MD10003
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402703
UNITED HEALTH CARE
RI
01
—
20927-8
BLUE CROSS&BLUE SHIELD
RI
01
—
2149156
AETNA
—
01
—
405138
BLUECHIP
RI
05
—
9020927
—
RI
Enumeration date
03/08/2006
Last updated
10/03/2007
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