Individual
PAUL W DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 E 36TH AVE, ANCHORAGE, AK 99508-4372
(907) 562-9229
(907) 562-1603
Mailing address
PO BOX 196276, ANCHORAGE, AK 99519-6276
(907) 565-6522
(907) 565-6592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2541
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2541
—
AK
Enumeration date
08/08/2006
Last updated
07/09/2007
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