Individual
DR. RICHARD H. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1429 COLLEGE AVE, SUITE E, MODESTO, CA 95350-4057
(209) 578-1582
(209) 578-5185
Mailing address
1429 COLLEGE AVE, SUITE E, MODESTO, CA 95350-4057
(209) 578-1582
(209) 578-5185
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
AD1415923
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94-2725185
TAX I.D.
CA
Enumeration date
10/04/2006
Last updated
01/15/2009
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