Individual
DR. DAVIS CO CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1219 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1708
(702) 633-5410
(702) 320-1639
Mailing address
1219 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1708
(702) 633-5410
(702) 320-1639
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11087
NV
208D00000X
General Practice Physician
Primary
11087
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509946
—
NV
Enumeration date
08/01/2006
Last updated
11/09/2012
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