Individual
VICTOR M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 ARROW ST, ST IGNATIUS, MT 59865-0679
(406) 745-4444
(406) 745-4907
Mailing address
PO BOX 679, ST IGNATIUS, MT 59865-0679
(406) 745-4444
(406) 745-4907
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6402
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012478
—
MT
01
—
870023511
RAILROAD MEDICARE
MT
01
—
95610
BLUE CROSS BLUE SHIELD
MT
Enumeration date
09/15/2006
Last updated
10/05/2007
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