Individual
ALEXIS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 319-8600
(301) 295-8716
Mailing address
17105 RUSSET DR, BOWIE, MD 20716-3629
(202) 255-9380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003297
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363A00000X
PHYSICIAN ASSISTANT PA
—
05
—
UNKNOWN
—
MD
Enumeration date
08/29/2006
Last updated
04/04/2024
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