Individual
GEORGE EDWIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 IDLEWILDE LN SE, ALBUQUERQUE, NM 87108-3446
(505) 270-7479
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
NM88-19
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S5731
—
NM
Enumeration date
10/10/2006
Last updated
07/21/2022
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