Individual
DEANNA S DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
751 S BASCOM AVE, NEUROSURGERY DEPT, SAN JOSE, CA 95128-2604
(408) 885-5686
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15995
CA
363AS0400X
Surgical Physician Assistant
15995
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA15995
—
CA
Enumeration date
03/17/2006
Last updated
09/11/2007
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