Individual
DR. DEBRA DARLENE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
218 W 161ST ST # A, WESTFIELD, IN 46074-9623
(317) 582-9000
Mailing address
218 W 161ST ST # A, WESTFIELD, IN 46074-9623
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01039356A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100350160
—
IN
Enumeration date
11/23/2005
Last updated
09/15/2022
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