Individual
WAYNE ALBERT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4131 N 24TH ST STE B102, PHOENIX, AZ 85016-6231
(480) 882-4545
(602) 903-7091
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4825
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
484673
—
AZ
Enumeration date
07/10/2007
Last updated
09/29/2025
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