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1952495038
GARY WADE DAVIS
LOUISVILLE, KY
NPI
1952495038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 21458)
Enumeration Date
2006-10-03
Last Update Date
2020-12-03
Business Address
GARY WADE DAVIS MD
3828 BARDSTOWN RD
LOUISVILLE, KY 40218-1527
Phone number: 502-459-4900
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Mailing Address
GARY WADE DAVIS MD
PO BOX 950248
LOUISVILLE, KY 40295-0248
Phone number: 502-253-1035
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