Organization
CHARLES I DAVIS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ISAAC DAVIS M.D. (PRESIDENT)
(913) 648-8880
Entity
Organization
Contact information
Practice address
9250 GLENWOOD ST, SUITE 100, OVERLAND PARK, KS 66212-1365
(913) 648-8880
(913) 648-8881
Mailing address
9250 GLENWOOD ST, SUITE 100, OVERLAND PARK, KS 66212-1365
(913) 648-8880
(913) 648-8881
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0429493
KS
Other
Enumeration date
06/27/2006
Last updated
06/07/2014
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