Doctor Name: | CHRISTOPHER JOHN DAVIS |
NPI Number: | 1568484780 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., M.P.H., M.B.A |
License Number: | 145320 |
Business Practice Address: | 296 Ashbourne Rd Rochester, NY - 146181704 |
Business Phone Number: | 5857389535 |
Business Fax Number: | 5854428494 |
Mailing Address: | 296 Ashbourne Rd, ROCHESTER |
State: | NY |
Postal Code: | 146181704 |
Phone Number: | 5857389535 |
Fax Number: | 5854428494 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 10/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 145320 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |