Individual
MR. JUSTIN C DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
PACIFIC INPATIENT MEDICAL GROUP, 601 VAN NESS AVE., STE. E3619, SAN FRANCISCO, CA 94102
(415) 531-9047
Mailing address
62 MUTH DR, ORINDA, CA 94563-2819
(415) 757-8501
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22284
CA
Other
Enumeration date
08/21/2012
Last updated
09/18/2024
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