institution
David P Davis Medicine, Pc
Rural Health Clinic/Center in Martinsville, Illinois
NPI 1841237583

David P Davis Medicine, Pc is a Rural Health Clinic/Center based in Martinsville, IL and is specialized in Rural Health. David P Davis Medicine, Pc practices in Martinsville, IL. The NPI Number for David P Davis Medicine, Pc is 1841237583 and holds a License No. 036086811 (Illinois).

The current practice location address for David P Davis Medicine, Pc is 890 Ridgelawn Rd, Martinsville, IL and can be reached out via phone at 217-382-4191 and via fax at 217-382-4248.

Location: 890 Ridgelawn Rd, Martinsville, IL, 62442-0399
institution
Provider Profile Details
NPI Number
1841237583
Provider Name
David P Davis Medicine, Pc
Credential
Provider Entity Type
Organization
Address
890 Ridgelawn Rd, Martinsville, IL, 62442-0399
Phone Number
217-382-4191
Fax Number
217-382-4248
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
316704395 05 IL
0004400750 01 IL AETNA
238297 01 IL HEALTHLINK
006686 01 IL HEALTH ALLIANCE
000000079566 01 IN ANTHEM
01225376 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
890 Ridgelawn Rd
City
State
Zip
62442-0399
Phone Number
217-382-4191
Fax Number
217-382-4248
person
Provider Business Mailing Address Details
Address
890 Ridgelawn Rd
City
State
Zip
62442-0399
Phone Number
217-382-4191
Fax Number
217-382-4248
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
036086811 (Illinois)
Definition
Definition to come...
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