Individual provider · Type 1 NPI

Dennis W. Davis, IDC

Military Health Care Provider · Santa Rita, GU

NPI number 1053591313 Active

Practice location

Uss Buffalo (ssn 715), Comnavmarianas
Santa Rita, GU 96915

Mailing address

Uss Buffalo (ssn 715)
Fpo, AP 96661

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1053591313

Dennis W. Davis, IDC's National Provider Identifier is 1053591313, issued on Nov 5, 2007. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Santa Rita, GU. The record was last updated on Apr 20, 2008.