Organization
GREGORY L DAVIS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY LYNN DAVIS M.D. (PRESIDENT)
(530) 332-9703
Entity
Organization
Contact information
Practice address
1560 HUMBOLDT RD, SUITE 3, CHICO, CA 95928-9101
(530) 332-9703
(530) 894-8505
Mailing address
1560 HUMBOLDT RD, SUITE 3, CHICO, CA 95928-9101
(530) 332-9703
(530) 894-8505
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G736380
—
CA
Enumeration date
10/31/2007
Last updated
07/16/2012
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