| NPI | 1720325772 |
|---|---|
| Former Legal Business Name | DAVIS CLINIC, P.C. |
| Entity Type | Organization |
| Authorized Contact | KURT C FABRICK President 617-640-1402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2016-01-29 |