Individual
DR. ANDREW DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3855 W 7800 S STE 100, WEST JORDAN, UT 84088-5561
(801) 260-0034
(801) 260-0035
Mailing address
75 ENTERPRISE STE 200, ALISO VIEJO, CA 92656-2626
(949) 688-6205
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
38883
IA
207W00000X
Ophthalmology Physician
9182832-1205
UT
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
9182832-1205
UT
Other
Enumeration date
07/28/2006
Last updated
05/03/2023
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