Individual
CHRISTOPHER C DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6424 E BROADWAY RD STE 101, MESA, AZ 85206-1750
(480) 456-9000
Mailing address
1409 E 2ND PL, MESA, AZ 85203-8109
(480) 235-6912
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
3527
AZ
363A00000X
Physician Assistant
Primary
3527
AZ
363AM0700X
Medical Physician Assistant
3527
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186974
—
AZ
Enumeration date
10/27/2006
Last updated
12/08/2021
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