Individual
MICHAEL J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 W HUNTINGTON DR, STE 107, ARCADIA, CA 91007-3462
(626) 574-0020
(626) 574-7188
Mailing address
301 W HUNTINGTON DR, STE 107, ARCADIA, CA 91007-3462
(626) 574-0020
(626) 574-7188
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036120010
IL
207W00000X
Ophthalmology Physician
A111866
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A111866
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120010 1
—
IL
Enumeration date
03/14/2008
Last updated
08/07/2020
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