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Individual

MR. MICHAEL J DAVIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 S LOGAN BLVD STE 3200, HOLLIDAYSBURG, PA 16648-3050
(814) 944-2097
(814) 941-2303
Mailing address
800 S LOGAN BLVD STE 3200, HOLLIDAYSBURG, PA 16648-3050
(814) 944-2097
(814) 941-2303

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD423645
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1012399800001
PA
Enumeration date
09/30/2005
Last updated
06/23/2020
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