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NPI Code Detail

MEDICARE: THOMAS MORREY DAVIS DO

MEDICARE: THOMAS MORREY DAVIS DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician02000974AIN

General Provider Information

NPI Number : 1912068438
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS MORREY DAVIS DO
Provider Business Mailing Address
First Line : 8 NORTH GRANT STREET
Second Line :
City : BROWNSBURG
State : IN
Zip : 46112-1223
Country : US
Telephone Number : 317-858-8800
Fax Number : 317-858-8838
Provider Business Practice Location Address
First Line : 8 NORTH GRANT STREET
Second Line :
City : BROWNSBURG
State : IN
Zip : 46112-1223
Country : US
Telephone Number : 317-858-8800
Fax Number : 317-858-8838
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/08/2007

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