NPI 1043366941

Eric Roger Davis

Practitioner Contractor Phoenix, AZ

Practice location

Address: 7416 S 24th Ln, Phoenix, AZ 85041
Phone: (602) 268-7811

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 9944 (AZ)

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Registry record

NPI: 1043366941
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2007
Record last updated: 8 Jul 2007

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.