Individual
CHAZ DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2019 E RIVERSIDE DR STE A200, ST GEORGE, UT 84790-8693
(435) 628-9298
(435) 628-9655
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11103138-4405
UT
Other
Enumeration date
01/10/2019
Last updated
03/20/2025
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