Individual
DR. WILLIAM BURLESON DAVISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-4724
(603) 650-0819
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-4724
(603) 650-0819
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
9475
NH
2084P0804X
Child & Adolescent Psychiatry Physician
H6154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099493103
—
TX
05
—
0RE3795
—
VT
05
—
3084158
—
NH
Enumeration date
02/07/2006
Last updated
03/07/2017
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