Individual
MR. JOHN WALTER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NIS-BC
Contact information
Practice address
1362 HOPMEADOW ST, SIMSBURY, CT 06070-1411
(860) 658-1922
Mailing address
8 WINDSHIRE DR, SOUTH WINDSOR, CT 06074-2134
(860) 644-3167
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
000340
CT
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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