Individual
DR. JOHNATHAN LEE WILLIAM DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10101 RIDGEGATE PKWY, LONE TREE, CO 80124-5522
(720) 225-1322
(720) 225-1329
Mailing address
10101 RIDGEGATE PKWY, LONE TREE, CO 80124-5522
(720) 225-1322
(720) 225-1329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR0061976
CO
208M00000X
Hospitalist Physician
CDRH.0061976
CO
Other
Enumeration date
06/18/2015
Last updated
02/07/2025
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