Individual
SCOTT STEVEN DAVIS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(270) 798-8727
(270) 956-0180
Mailing address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(270) 798-8727
(270) 956-0180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1066134
NE
363A00000X
Physician Assistant
Primary
PA06216
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282394002
—
TX
Enumeration date
01/02/2007
Last updated
10/27/2011
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