Individual
CARLY RAE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12391 S 4000 W, RIVERTON, UT 84096-7012
(801) 302-1700
Mailing address
12391 S 4000 W, RIVERTON, UT 84096-7012
(801) 302-1700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7996415-1205
UT
208000000X
Pediatrics Physician
R70650
AZ
2080P0208X
Pediatric Infectious Diseases Physician
7996415-1205
UT
Other
Enumeration date
10/05/2009
Last updated
02/20/2025
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