Individual
MIRYAM M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 IRVING ST NW, #206, WASHINGTON, DC 20010-2927
(202) 291-7300
(202) 726-6031
Mailing address
7012 RIVER RD, BETHESDA, MD 20817-4752
(301) 229-6250
(301) 320-3590
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
MD4085
DC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD4085
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022868200
—
DC
Enumeration date
11/15/2006
Last updated
12/12/2016
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