Individual
DR. JEFFREY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 1ST AVE, PORTOLA, CA 96122-9406
(530) 832-6500
Mailing address
6979 SKYLINE BL, OAKLAND, CA 94611-6102
(510) 339-2113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G24794
CA
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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