Gregg E Davis MD Ltd
Clinic/Center, Primary Care in Princeton, IL. Organization (NPI-2).
NPI number1447481908
StatusActive
Last updated in NPPESJul 31, 2009
Details
- NPI
- 1447481908
- Entity type
- Organization (NPI-2)
- Legal business name
- Gregg E Davis MD Ltd
- Organization subpart
- No
- Enumeration date
- Jul 31, 2009
- Last updated
- Jul 31, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 036-058885 | IL | Yes |
Practice location
204 Park Ave EPrinceton, IL 61356-2114
Phone 815-879-3212 · Fax 815-879-8602
Mailing address
204 Park Ave EPrinceton, IL 61356-2114
Phone 815-879-3212 · Fax 815-879-8602
Authorized official
Gregg E Davis
Ceo
8158793212
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