Tad Leon Davis, MD

NPI #1790747954 in Brewster, Washington

Provider Information

NPI Number: 1790747954
Entity Type: Individual
Name: Tad Leon Davis, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Apr 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 507 HOSPITAL WAY
City: Brewster
State: Washington
ZIP Code: 98812-0507
Phone: (509) 689-2517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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