Gregg E Davis Md Ltd | |
204 Park Ave E Princeton IL 61356-2114 | |
(815) 879-3212 | |
(815) 879-8602 |
Full Name | Gregg E Davis Md Ltd |
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Speciality | Clinic/center - Primary Care |
Location | 204 Park Ave E, Princeton, Illinois |
Authorized Official Name and Position | Gregg E Davis (CEO) |
Authorized Official Contact | 8158793212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gregg E Davis Md Ltd 204 Park Ave E Princeton IL 61356-2114 Ph: (815) 879-3212 | Gregg E Davis Md Ltd 204 Park Ave E Princeton IL 61356-2114 Ph: (815) 879-3212 |
NPI Number | 1447481908 |
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Provider Enumeration Date | 07/31/2009 |
Last Update Date | 07/31/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447481908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 036-058885 (Illinois) | Primary |
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