Individual
JEFFREY ALLEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
226 HIGH ST, ELLSWORTH, ME 04605-1742
(207) 667-4655
Mailing address
109 VEAZIE ST, OLD TOWN, ME 04468-1442
(207) 827-7180
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA258
ME
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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