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Colleen Davis, PA
Surgical Physician Assistant in Wilmington, Delaware
NPI 1922109206

Colleen Davis is a Surgical Physician Assistant based in Wilmington, DE and is specialized in Surgical. Colleen Davis practices in Wilmington, DE and has the professional credentials of PA. The NPI Number for Colleen Davis is 1922109206 and holds a License No. C50000438 (Delaware).

The current practice location address for Colleen Davis is 1306 N Broom St, Wilmington, DE and can be reached out via phone at 302-571-9750 and via fax at 302-571-0620. You can also correspond with Colleen Davis through the mailing address at 1306 N BROOM ST, WILMINGTON, DE - 19806-4209 (mailing address contact number: 302-571-9750).

Location: 1306 N Broom St, Wilmington, DE, 19806-4209
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Provider Profile Details
NPI Number
1922109206
Provider Name
Colleen Davis
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1306 N Broom St, Wilmington, DE, 19806-4209
Phone Number
302-571-9750
Fax Number
302-571-0620
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016022N04 01 DE RAILROAD MEDICARE
C50000438 01 DE DE LICENSE
C03083 01 MD MD STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1306 N Broom St
City
State
Zip
19806-4209
Phone Number
302-571-9750
Fax Number
302-571-0620
person
Provider Business Mailing Address Details
Address
1306 N Broom St
City
State
Zip
19806-4209
Phone Number
302-571-9750
Fax Number
302-571-0620
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
C50000438 (Delaware)
Definition
Definition to come...
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