Individual
BRUCE C. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6242 E. ARBOR AVE., SUITE 101, MESA, AZ 85206-1309
(480) 985-9184
(480) 985-3107
Mailing address
6242 E. ARBOR AVE., SUITE 101, MESA, AZ 85206-1309
(480) 985-9184
(480) 985-3107
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17905
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076051-001
—
AZ
05
—
076051001
—
AZ
Enumeration date
03/09/2006
Last updated
02/04/2009
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