Individual
VICTOR HARDWICK DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
919 SOLANO DR NE, ALBUQUERQUE, NM 87110-7742
(505) 266-8122
Mailing address
919 SOLANO DR NE, ALBUQUERQUE, NM 87110-7742
(505) 266-8122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C51844
CA
208600000X
Surgery Physician
Primary
90-214
NM
208600000X
Surgery Physician
C51844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508811266
—
MO
Enumeration date
05/23/2006
Last updated
02/10/2016
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