Individual
DANIEL ALYN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5120 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4366
(505) 948-8975
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD-2011-0809
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150259001
—
AR
01
—
P00052697
MEDICARE RAILROAD
AR
Enumeration date
10/09/2006
Last updated
02/06/2025
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