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Individual

DOUGLAS DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
RN298864L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001373990
HIGHMARK
PA
01
050051233
RR MEDICARE
PA
01
1147557
AETNA-HMO
PA
01
2066301000
INDEPENDENCE BLUE CROSS
PA
01
3741
GEISINGER
PA
01
50055753
CAPITAL BLUE CROSS & KEYSTONE HEALTH PLAN CENTRAL
PA
01
7019740
AETNA-NON HMO
PA
Enumeration date
02/13/2006
Last updated
09/11/2025
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