Individual
AMY DAVIS
Active
Individual
AMY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO, MS, MACP, FAAHPM
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS013419
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
OS013419
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
OS013419
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021954500001
—
PA
Enumeration date
03/17/2007
Last updated
08/02/2023
Update your record
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