Individual
JANE M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 522-9400
(928) 522-9564
Mailing address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 522-9400
(928) 522-9564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MR-1049
ID
Other
Enumeration date
06/24/2009
Last updated
10/21/2013
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