Provider Information for 1801080429
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DAVIS RICE
Sex: Male
NPI: 1801080429
Last Updated: 2019-04-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1801080429 | ||||||||
| Enumeration Date | 2007-08-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 2924 LA PLATA, MD 20646-2984 United States Phone: 301-609-9887 | Fax:301-609-7284 | ||||||||
| Primary Practice Address | 6100 RADIO STATION ROAD LAPLATA, MD 20646 United States Phone: 301-609-9887 | Fax:301-609-7284 | ||||||||
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