Individual
CLIFFORD WAYNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
805 SUNSET BLVD, P O 758, CONRAD, MT 59425-1717
(406) 271-3211
(406) 271-7661
Mailing address
3619 5TH AVE N, GREAT FALLS, MT 59401-2207
(406) 271-3211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
301
MT
363A00000X
Physician Assistant
PA0004597
CO
Other
Enumeration date
05/16/2006
Last updated
02/19/2021
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