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Individual
MARC ANDREW DAVIS
Active
Individual
MARC ANDREW DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00041859
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0171250
LIWA
WA
01
—
1945DA
BSWA
WA
05
—
8332421
—
WA
Enumeration date
06/27/2006
Last updated
02/23/2008
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