Individual
JOHN PAUL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
HI-DESERT MEDICAL CENTER, 6601 WHITE FEATHER ROAD, JOSHUA TREE, CA 92252
(760) 366-3711
Mailing address
719 CEDAR VIEW DR, BEAUMONT, CA 92223-6417
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15101
CA
363L00000X
Nurse Practitioner
Primary
15101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN85634
—
CA
Enumeration date
06/15/2006
Last updated
05/31/2018
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