B J Davis Dopc | |
3804 Montgomery Ne Albuqurque NM 87109 | |
(505) 883-8099 | |
(505) 883-8060 |
Full Name | B J Davis Dopc |
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Speciality | Family Medicine |
Location | 3804 Montgomery Ne, Albuqurque, New Mexico |
Authorized Official Name and Position | B J Davis (OWNER) |
Authorized Official Contact | 5058838099 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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B J Davis Dopc 3804 Montgomery Ne Albuqurque NM 87109 Ph: (505) 883-8099 | B J Davis Dopc 3804 Montgomery Ne Albuqurque NM 87109 Ph: (505) 883-8099 |
NPI Number | 1760555916 |
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Provider Enumeration Date | 11/16/2006 |
Last Update Date | 02/08/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760555916 | NPI | - | NPPES |
41723 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A40958 (New Mexico) | Primary |