Individual
DR. DAVID LEWIS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 MCGUIRE DR, MODESTO, CA 95355-4523
(209) 521-2774
Mailing address
901 MCGUIRE DR, MODESTO, CA 95355-4523
(209) 521-2774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A22975
CA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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