Individual
DR. DAVID MARK DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20101 SW BIRCH STREET, SUITE #100, NEWPORT BEACH, CA 92660-1749
(949) 955-9080
(949) 955-9061
Mailing address
20101 SW BIRCH STREET, SUITE #100, NEWPORT BEACH, CA 92660-1749
(949) 955-9080
(949) 955-9061
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
CALIFC37372
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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