Individual
MR. ROSS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8861 W SAHARA AVE STE 290, LAS VEGAS, NV 89117-4808
(702) 869-6667
Mailing address
8861 W SAHARA AVE STE 290, LAS VEGAS, NV 89117-4808
(702) 869-6667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1837
NV
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1837
STATE LICENSE NUMBER
NV
Enumeration date
10/02/2014
Last updated
06/04/2018
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