NPI | 1790837763 |
---|---|
Doing Business As | JUDY L DAVIS DO |
Entity Type | Organization |
Authorized Contact | JUDY L DAVIS President 219-531-1999 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IN 02001245) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2008-07-16 |