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Individual

DR. ROY I DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3000
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
10461
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1Z7112
HEALTH NET AZ-SUN CITY PA
AZ
05
245226
AZ
01
AX4478
HEALTH NET AZ-PATH ASSOC
AZ
01
AZ0182900
BCBSAZ-PATH ASSOC
AZ
01
AZ0828910
BCBSAZ-SUN CITY PATH
AR
01
XPY194772
MEDI-CAL PATH ASSOC
AZ
Enumeration date
02/22/2006
Last updated
07/20/2010
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