Organization
JONATHAN W.R. DAVIES
Active
Other names
Lake County Obstetrics and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN W. R. DAVIES M.D. (OWNER)
(707) 263-9036
Entity
Organization
Contact information
Practice address
5106 HILL RD E, LAKEPORT, CA 95453-6300
(707) 263-9036
(707) 263-9039
Mailing address
5106 HILL RD E, LAKEPORT, CA 95453-6300
(707) 263-9036
(707) 263-9039
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A72280
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A722800
—
CA
Enumeration date
07/20/2007
Last updated
01/10/2013
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