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NPI Code Detail

MEDICARE: DR. JOSEPHINE V DAVIS MD

MEDICARE: DR. JOSEPHINE V DAVIS MD
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
1207Q00000XFamily Medicine Physician7744NE

General Provider Information

NPI Number : 1255782751
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPHINE V DAVIS MD
Provider Business Mailing Address
First Line : 2140 JUNCTION AVE
Second Line :
City : STURGIS
State : SD
Zip : 57785-2358
Country : US
Telephone Number : 605-720-2600
Fax Number :
Provider Business Practice Location Address
First Line : 2140 JUNCTION AVE
Second Line :
City : STURGIS
State : SD
Zip : 57785-2358
Country : US
Telephone Number : 605-720-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2016
Last Update Date : 10/31/2019

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Directions to “ DR. JOSEPHINE V DAVIS MD” Practice Location

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