Individual
MR. JEFFREY ALAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
709 4TH AVE NE, WATFORD CITY, ND 58854-7628
(701) 842-3000
Mailing address
408 3RD AVE NE, WATFORD CITY, ND 58854-7408
(903) 985-0413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1004-24
ND
2255A2300X
Athletic Trainer
AT8540
TX
Other
Enumeration date
04/19/2010
Last updated
02/11/2025
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