Individual
DR. EDWARD LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
658 S WASHINGTON AVE, GLENDORA, CA 91740-4330
(626) 335-7207
Mailing address
658 S WASHINGTON AVE, GLENDORA, CA 91740-4330
(626) 335-7207
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G21363
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ72637Z
—
CA
Enumeration date
11/03/2005
Last updated
03/17/2018
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