# DAVIS WHOLE FAMILY HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275232654
- **Authorized official:** DR. BETHANY DAVIS MD (CMO)
- **Authorized official phone:** (619) 218-9490

## Contact information

- **Practice address:** 150 N VERDE ST STE 101, FLAGSTAFF, AZ 86001-5257
- **Practice address phone:** (619) 218-9490
- **Mailing address:** 150 N VERDE ST STE 101, FLAGSTAFF, AZ 86001-5257
- **Mailing address phone:** (619) 218-9490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/24/2023
- **Last updated:** 04/22/2024