Individual
JOHN WAYNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2801 DEBARR RD, ANCHORAGE, AK 99508-2932
(907) 276-1131
Mailing address
8941 GOWDY AVE, SAN DIEGO, CA 92123-3458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
205442
AK
207Q00000X
Family Medicine Physician
SL1661
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
03/30/2024
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