Individual
DR. BRIAN WAYNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4625 BORDEAUX BLVD, MISSOULA, MT 59808-8686
(859) 533-3471
Mailing address
4625 BORDEAUX BLVD, MISSOULA, MT 59808-8686
(859) 533-3471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18582
MT
207R00000X
Internal Medicine Physician
256390
NY
207R00000X
Internal Medicine Physician
LL29140
SC
207R00000X
Internal Medicine Physician
MD2016-0024
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
18582
MT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
256390
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD2016-0024
NM
207RP1001X
Pulmonary Disease Physician
18582
MT
207RP1001X
Pulmonary Disease Physician
256390
NY
207RP1001X
Pulmonary Disease Physician
MD2016-0024
NM
Other
Enumeration date
11/01/2006
Last updated
04/28/2017
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