Individual
ELIZABETH CANNON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1450 TREAT BLVD STE 160, WALNUT CREEK, CA 94597-2168
(925) 296-9000
Mailing address
1450 TREAT BLVD, STE 300, WALNUT CREEK, CA 94597-2168
(510) 334-2098
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA54622
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68-0360801
—
CA
Enumeration date
10/05/2006
Last updated
02/06/2018
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