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Individual

MR. AUSTIN GRANT DAVIDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSOP, CPO

Contact information

Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1497
Mailing address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1497

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO04358
DC
224P00000X
Prosthetist
Primary
CPO04358
DC

Other

Enumeration date
02/01/2021
Last updated
02/01/2021
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