Individual
DR. WILLIAM JACOB DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 232-2273
Mailing address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 232-2273
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
33953
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2020
Last updated
11/10/2021
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