| NPI | 1407374101 |
|---|---|
| Other Name | R KEITH DAVIS MD PLLC PA SCHOOL BASED CLINIC |
| Entity Type | Organization |
| Authorized Contact | RICHARD KEITH DAVIS Owner 870-725-3471 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-09-01 |