Individual
DR. JOHN K DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2735 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-7924
(928) 763-2273
Mailing address
2390 SATTERFIELD DR, POCATELLO, ID 83201-7905
(208) 238-0235
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3192
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39-87220
EVERCARE GROUP
AZ
05
—
392241
—
AZ
01
—
AW1436
HEALTHNET GROUP
AZ
01
—
AZ0728670
BLUECROSS/BLUESHIELD GRP
AZ
Enumeration date
11/07/2005
Last updated
01/07/2008
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