SearchUtahFamily Nurse Practitioner

Russell Davis

NPI 1982148581 · on the registry since 2016 · sole proprietor

Practice

Address
1887 Aaron Dr Ste B
Tooele, UT 84074
Phone
(435) 775-9969
Organisation at this address
Tooele Clinic Corp
Blue Rock Family Dental, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-07-20

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 Utah