Individual
DR. JEFFREY B DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 S PROSPECT ST, BURLINGTON, VT 05401-3456
(802) 847-4531
Mailing address
34 N OLDE CARRIAGE RD, CHARLOTTE, VT 05445-9093
(802) 425-2488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0008955
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN0912
—
VT
Enumeration date
12/14/2006
Last updated
07/08/2007
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