Individual
WILLIAM DUNCAN DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CORNER ROUTE N 12 AND N 7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE INDIAN HOSPITAL BOARD, INC, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37751
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100139880C
—
KS
01
—
104058
BLUE SHIELD OF KS
KS
Enumeration date
05/22/2006
Last updated
09/20/2011
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