Individual
WILLARD ROBERT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3409 W 12600 S STE 230, RIVERTON, UT 84065-7270
(801) 252-6116
Mailing address
3409 W 12600 S STE 230, RIVERTON, UT 84065-7270
(801) 252-6116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8003742-4405
UT
Other
Enumeration date
06/02/2020
Last updated
10/05/2021
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