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Tad Leon Davis, MD
Specialist in Brewster, Washington
NPI 1790747954

Tad Leon Davis is a Specialist based in Brewster, WA. Tad Leon Davis practices in Brewster, WA and has the professional credentials of MD. The NPI Number for Tad Leon Davis is 1790747954 and holds a License No. MD00016562 (Washington).

The current practice location address for Tad Leon Davis is 507 Hospital Way, Brewster, WA and can be reached out via phone at 509-689-2517 and via fax at 509-689-2086.

Location: 507 Hospital Way, Brewster, WA, 98812-0577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790747954
Provider Name
Tad Leon Davis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
507 Hospital Way, Brewster, WA, 98812-0577
Phone Number
509-689-2517
Fax Number
509-689-2086
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1349703 05 WA
institution
Provider Business Practice Location Address Details
Address
507 Hospital Way
City
Brewster
State
Washington
Zip
98812-0507
Phone Number
509-689-2517
Fax Number
509-689-2086
person
Provider Business Mailing Address Details
Address
507 Hospital Way
City
Brewster
State
Washington
Zip
98812-0507
Phone Number
509-689-2517
Fax Number
509-689-2086
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD00016562 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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