Provider Demographics
NPI:1750301651
Name:DAVIES, LOUISE (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:
Last Name:DAVIES
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VA OUTCOMES GROUP - 111B
Mailing Address - Street 2:215 NORTH MAIN STREET
Mailing Address - City:WHITE RIVER JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05009
Mailing Address - Country:US
Mailing Address - Phone:802-296-5178
Mailing Address - Fax:802-296-6325
Practice Address - Street 1:VA OUTCOMES GROUP - 111B
Practice Address - Street 2:215 NORTH MAIN STREET
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05009
Practice Address - Country:US
Practice Address - Phone:802-296-5178
Practice Address - Fax:802-296-6325
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12869207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology