# PATRICK W DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417914730
- **Gender:** Man
- **Credential:** P.A.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA823 | NV | Yes |
| 363AS0400X | Surgical Physician Assistant | PA823 | NV | — |

## Other

- **Enumeration date:** 04/28/2006
- **Last updated:** 10/22/2019

## 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 |