Individual
RICHARD EDMUND DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
328 S 1ST ST STE F-G, ALHAMBRA, CA 91801-3789
(626) 457-6333
Mailing address
8860 SHOSHONE AVE, SHERWOOD FOREST, CA 91325-3123
(818) 818-2983
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
159326
CA
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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