Individual
BRETT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
41949 BIG BEAR BLVD, BIG BEAR LAKE, CA 92315
(909) 878-3696
Mailing address
153 PIONEER LN STE B, BISHOP, CA 93514-2517
(760) 873-2849
(760) 873-2836
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13662
CA
Other
Enumeration date
05/14/2007
Last updated
09/21/2010
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