Individual
JEREMIAH C. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C153312
CA
208000000X
Pediatrics Physician
MD167331
OR
208000000X
Pediatrics Physician
MD60342987
WA
208000000X
Pediatrics Physician
ML60157569
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500671034
—
OR
Enumeration date
03/25/2010
Last updated
08/14/2019
Update your record
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