Organization
MARK A. DAVIS, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A. DAVIS O.D. (OWNER)
(256) 593-1986
Entity
Organization
Contact information
Practice address
510 N MAIN ST, BOAZ, AL 35957-1432
(256) 593-1986
(256) 593-1976
Mailing address
510 N MAIN ST, BOAZ, AL 35957-1432
(256) 593-1986
(256) 593-1976
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/13/2008
Last updated
02/20/2008
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