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Organization
SIX RIVERS EMERGENCY PHYSICIANS
Active
Organization
SIX RIVERS EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGIL W DAVIS III M.D. (OWNER)
(707) 826-8264
Entity
Organization
Contact information
Practice address
3800 JANES RD, ARCATA, CA 95521-4742
(707) 826-8264
(707) 826-8292
Mailing address
3800 JANES RD, ARCATA, CA 95521-4742
(707) 826-8264
(707) 826-8292
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094250
—
CA
Enumeration date
06/10/2006
Last updated
07/21/2022
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