Individual
DR. ASHLEY CHARLES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2730
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 251-2730
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9640110-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058161
GEORGIA LICENSE NUMBER
GA
01
—
23420
ALABAMA BME
AL
Enumeration date
10/05/2006
Last updated
02/22/2024
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