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Dennis W Davis, IDC
Military Health Care Provider in Santa Rita, N/A
NPI 1053591313

Dennis W Davis is a Military Health Care Provider based in Fpo, . Dennis W Davis practices in Santa Rita, and has the professional credentials of IDC. The NPI Number for Dennis W Davis is 1053591313 and holds a License No. (N/A).

The current practice location address for Dennis W Davis is Uss Buffalo (Ssn 715), Santa Rita, and can be reached out via phone at 671-564-3022.

Location: Uss Buffalo (Ssn 715), Santa Rita, , 96661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053591313
Provider Name
Dennis W Davis
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
Uss Buffalo (Ssn 715), Santa Rita, , 96661
Phone Number
671-564-3022
Fax Number
Provider Enumeration Date
11/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Uss Buffalo (Ssn 715)
City
Santa Rita
State
Zip
96915
Phone Number
671-564-3022
Fax Number
person
Provider Business Mailing Address Details
Address
Uss Buffalo (Ssn 715)
City
Santa Rita
State
Zip
96915
Phone Number
671-564-3022
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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