Individual
BRENDAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 882-1500
Mailing address
15446 N GREENWAY HAYDEN LOOP UNIT 3058, SCOTTSDALE, AZ 85260-3148
(719) 330-5240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
8160
AZ
363A00000X
Physician Assistant
Primary
8160
AZ
363AM0700X
Medical Physician Assistant
8160
AZ
Other
Enumeration date
07/11/2020
Last updated
06/15/2021
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