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Individual
DR. MICHELLE DAVEY
Active
Individual
DR. MICHELLE DAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A78760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX78760
—
CA
01
—
1356344758
MEDICARE
CA
05
—
1356344758
—
CA
01
—
ZZZ73222Z
BLUE SHIELD PIN
CA
Enumeration date
05/31/2005
Last updated
09/20/2019
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