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Individual
DR. RANDEL C DAVIS
Active
Individual
DR. RANDEL C DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2484
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078817
—
AZ
01
—
3981220
EVERCARE - GROUP #
AZ
01
—
453051001
GROUP HEALTH - GROUP #
AZ
01
—
860373636
HUMANA - GROUP #
AZ
01
—
AW1436
HEALTHNET - GROUP #
AZ
01
—
AZ0728670
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
11/22/2005
Last updated
11/27/2018
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