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Individual

DANIEL P DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
315 W MADISON AVE, CHESTER, MT 59522-7801
(406) 759-5181
Mailing address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 758-7036
(406) 758-7891

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A62140
CA
207P00000X
Emergency Medicine Physician
Primary
MED-PHYS-LIC-90981
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A621400
CA
Enumeration date
06/15/2006
Last updated
02/19/2024
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