Individual
SHANE CHRISTOPHER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1854
(714) 727-9366
Mailing address
1141 THOMAS AVE, SAN DIEGO, CA 92109-4152
(714) 727-9366
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
10/29/2025
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