NPI | 1366784167 |
---|---|
Doing Business As | LAWRENCE A. DAVIS |
Entity Type | Organization |
Authorized Contact | LAWRENCE DAVIS Cert. Surg First Assist 720-363-3145 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 1520) |
Enumeration Date | 2013-03-20 |
Last Update Date | 2013-03-20 |