Search › Arizona › 221700000X
Gary Davis
NPI 1336435718 · on the registry since 2011 · sole proprietor
Practice
- Address
- Corner Of Route N12 And N7
Fort Defiance, AZ 86504 - Phone
- (928) 729-3741
- Fax
- (928) 729-8943
- Organisation at this address
- Fort Defiance Indian Hospital Board, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 302
Registry record
- Primary taxonomy
- 221700000X
221700000X
- Also registered as
- 101Y00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona