Individual
HENRY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 722-2161
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 722-2161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00040237
WA
Other
Enumeration date
07/19/2006
Last updated
07/20/2021
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