Individual
MAIA J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-2560
(425) 899-2079
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ML20008351
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8489858
—
WA
01
—
P00455205
MEDICARE RAILROAD
WA
Enumeration date
08/21/2006
Last updated
06/17/2009
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