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Individual
PATRICK W DAVIS
Active
Individual
PATRICK W DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA823
NV
363AS0400X
Surgical Physician Assistant
PA823
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502933
—
NV
05
—
850273
—
AZ
01
—
CC535Y
MEDICARE PTAN
NV
01
—
P00206370
RAILROAD MEDICARE
NV
01
—
PA823
NSBME
NV
Enumeration date
04/28/2006
Last updated
10/22/2019
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