# DAVIS ENDOCRINOLOGY AND DIABETES LLC

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

## Provider details

- **NPI number:** 1538445820
- **Authorized official:** DR. KHALDOUN M AL-RAYESS MD (CEO / OWNER)
- **Authorized official phone:** (801) 776-8080

## Contact information

- **Practice address:** 1492 W ANTELOPE DR, SUITE 115, LAYTON, UT 84041-1139
- **Practice address phone:** (801) 776-8080
- **Practice address fax:** (801) 776-2888
- **Mailing address:** PO BOX 268, BOUNTIFUL, UT 84011-0268
- **Mailing address phone:** (801) 296-2113
- **Mailing address fax:** (801) 286-1715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 5804089-1205 | UT | Yes |

## Other

- **Enumeration date:** 10/31/2011
- **Last updated:** 02/08/2012