| Gregg E Davis Md Ltd | |
|
204 Park Ave E Princeton IL 61356-2114 | |
| (815) 879-3212 | |
| (815) 879-8602 |
| Full Name | Gregg E Davis Md Ltd |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 204 Park Ave E, Princeton, Illinois |
| Authorized Official Name and Position | Gregg E Davis (CEO) |
| Authorized Official Contact | 8158793212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregg E Davis Md Ltd 204 Park Ave E Princeton IL 61356-2114 Ph: (815) 879-3212 | Gregg E Davis Md Ltd 204 Park Ave E Princeton IL 61356-2114 Ph: (815) 879-3212 |
| NPI Number | 1447481908 |
|---|---|
| Provider Enumeration Date | 07/31/2009 |
| Last Update Date | 07/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447481908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036-058885 (Illinois) | Primary |
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