Individual
MICHAEL A. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2965
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601001174
MI
363A00000X
Physician Assistant
Primary
PA02487
TX
Other
Enumeration date
03/22/2007
Last updated
01/25/2017
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