Individual
DR. DANIEL ADAM DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11851 N 51ST AVE STE B110, GLENDALE, AZ 85304-2823
(480) 882-4545
(623) 207-7410
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 692-6874
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61526
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079662
—
AZ
Enumeration date
04/11/2017
Last updated
06/13/2023
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