NPI 1093141483
Jeffrey S Davis, BCOBADO
Practice location
- Address
- 258 Corporate Dr STE 213, Madison, WI 53714-2407
- Phone
- (608) 630-9200
- Fax
- (844) 518-5724
Registered specialties
Ocularist
Primary
Registry record
- NPI
- 1093141483
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Sep 2013
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.