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Individual

DR. DAVID A. DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5120 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4366
(505) 243-7546
(505) 243-7547
Mailing address
5120 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4366
(505) 243-7546
(505) 243-7547

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2000-174
NM
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2000-174
NM
207ND0101X
MOHS-Micrographic Surgery Physician
32332
IA

Other

Enumeration date
06/27/2005
Last updated
03/13/2026
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