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Individual

CATHERINE VIRGINIA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 DOYLE PARK DR, STE G03, SANTA ROSA, CA 95405-4559
(707) 544-3411
(707) 544-0834
Mailing address
3536 MENDOCINO AVE, STE 200, SANTA ROSA, CA 95403-3634
(707) 575-6049
(707) 544-0834

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G70242
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G702420
BLUE SHIELD OF CALIFORNIA
05
00G702420
CA
01
P00420857
RAILROAD MEDICARE
CA
Enumeration date
08/23/2005
Last updated
10/21/2021
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