Individual
RYAN EDWARD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 WILFORD HALL LOOP, BLDG 4554 ATTN: 59 MDW/SGHC JBS, JBSA LACKLAND, TX 78236-9908
(210) 292-6030
Mailing address
1100 WILFORD HALL LOOP, BLDG 4554 ATTN: 59 MDW/SGHC JBS, JBSA LACKLAND, TX 78236-9908
(210) 292-6030
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
40922
AZ
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
40922
AZ
208D00000X
General Practice Physician
40922
AZ
Other
Enumeration date
05/08/2007
Last updated
11/06/2024
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