Individual
CHRISTOPHER KENT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8001 FROST ST, ENTRANCE 9, SAN DIEGO, CA 92123-2746
(858) 966-5855
Mailing address
3860 CALLE FORTUNADA, STE #210, SAN DIEGO, CA 92123-4802
(858) 309-6303
(858) 309-6301
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
A100260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1002600
—
CA
Enumeration date
05/22/2007
Last updated
09/19/2011
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