Individual
MARK DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 INNOVATION DR STE 3, WORCESTER, MA 01605-4306
(508) 793-6290
Mailing address
701 AVALON WAY, SHREWSBURY, MA 01545-7805
(913) 620-8491
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9406852
KS
Other
Enumeration date
07/05/2007
Last updated
02/24/2012
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