Individual
JOHN A DAVIS
Active
Individual
JOHN A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
018094
LA
2085R0202X
Diagnostic Radiology Physician
Primary
180687-1205
UT
2085R0202X
Diagnostic Radiology Physician
9258
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107005493101
IHC
UT
01
—
300080588
R/R MEDICARE
UT
01
—
681072
DMBA #
UT
05
—
870487570004
—
UT
01
—
870487570DA1
EMIA #
UT
Enumeration date
05/23/2006
Last updated
05/09/2019
Update your record
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