NPI 1043493125

Robert T Davis, PAC

Practitioner Physician Assistant Avondale, AZ

Practice location

Address: 13065 W McDowell Rd STE A107 Phoenix Gi Consultants, Avondale, AZ 85392-6440
Phone: (623) 907-8686
Mailing address: 13065 W McDowell Rd Suite 107, Avondale, AZ 85392

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1080501 (AZ)

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Registry record

NPI: 1043493125
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2007
Record last updated: 1 Dec 2015

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.