Organization
DAVIS ORTHOPAEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B DAVIS (OWNER & PHYSICIAN)
(928) 772-5320
Entity
Organization
Contact information
Practice address
3237 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1222
(928) 772-5320
(928) 772-5319
Mailing address
3237 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1222
(928) 772-5320
(928) 772-5319
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
225100000X
Physical Therapist
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/07/2014
Last updated
12/29/2022
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