Individual
JONATHAN E DAVIS
Active
Individual
JONATHAN E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33464
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034148200
—
DC
05
—
510909400
—
MD
01
—
75859902
BLUE SHIELD
MD
01
—
J8790001
BLUE SHIELD
DC
01
—
P00129709
RAILROAD MED
DC
Enumeration date
07/13/2005
Last updated
04/24/2012
Update your record
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