NPI 1023261435
Michael Ray Davis, LDO
Practice location
- Address
- 506 N 40th Ave Suite 101, Yakima, WA 98908-4318
- Phone
- (509) 966-4735
- Fax
- (509) 966-4755
Registered specialties
Optician
Primary
Registry record
- NPI
- 1023261435
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Oct 2008
- Record last updated
- 24 Sep 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.