# MATTHEW D DAVIES

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

## Provider details

- **NPI number:** 1902892680
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD00042631 | WA | Yes |

## Other

- **Enumeration date:** 09/27/2005
- **Last updated:** 05/19/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 173172 | L & I | WA |
| 05 | — | 8356230 | — | WA |
| 01 | — | MD5200W | ALASKA DSHS | WA |
| 01 | — | P00048973 | RR MEDICARE | WA |
