NPI 1417576364

William Jacob Davis, MD

Practitioner Military Health Care Provider Offutt Afb, NE

Practice location

Address: 2501 Capehart Rd, Offutt Afb, NE 68113-1043
Phone: (402) 232-2273

Registered specialties (2)

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence 33953 (NE)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1417576364
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2020
Record last updated: 10 Nov 2021

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.