Individual
SPENCER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
762 14TH ST, ELKO, NV 89801-3413
(775) 738-1553
Mailing address
762 14H ST, ELKO, NV 89801
(775) 738-1553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0579
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2022
Last updated
12/09/2022
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