Individual
DR. JOHN AUBREY DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 200-5383
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
05797
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952442501
BCBSAZ
AZ
05
—
246737
—
AZ
Enumeration date
02/08/2007
Last updated
07/21/2011
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