Derrick Davis

NPI #1801203609 in Eagan, Minnesota

Provider Information

NPI Number
1801203609
Entity Type
Individual
Name
Derrick Davis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Jul 14, 2014
Last Updated
Jul 14, 2014

Practice Location

Address
1063 DUCKWOOD DR APT 205
City
Eagan
ZIP Code
55123-1206
Phone
(612) 518-6455

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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