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Individual

DR. DENISE LYNNE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3031 TELEGRAPH AVE, SUITE 217, BERKELEY, CA 94705-2051
(510) 883-1046
(510) 883-1746
Mailing address
3031 TELEGRAPH AVE, SUITE 217, BERKELEY, CA 94705-2051
(510) 883-1046
(510) 883-1746

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G057866
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G57866
CA
Enumeration date
07/20/2006
Last updated
07/08/2007
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