Organization
DAVIS ENT SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C DAVIS MD (OWNER/MD)
(307) 686-7346
Entity
Organization
Contact information
Practice address
407 S MEDICAL ARTS CT, STE. C, GILLETTE, WY 82716-3372
(307) 686-7346
(307) 682-1485
Mailing address
407 S MEDICAL ARTS CT, STE. C, GILLETTE, WY 82716-3372
(307) 686-7346
(307) 682-1485
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
7762A
WY
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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