Individual
DR. SHIRLEY DIANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9040A FITZSIMMONS AVE, BLDG 9913A, TACOMA, WA 98431-0001
(253) 968-1332
Mailing address
9040A FITZSIMMONS AVE, BLDG 9913A, TACOMA, WA 98431-0001
(253) 968-1332
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
32442
CO
207R00000X
Internal Medicine Physician
32442
CO
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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