Whalio Doctors

NPI 1508893652

Jeffrey Richards Davis, PAC

Practitioner Emergency Medicine Physician Tooele, UT

Practice location

Address
1244 N Main St STE 201, Tooele, UT 84074-9839
Phone
(435) 849-4155
Mailing address
PO Box 257, South Rim, UT 84071-0257

Registered specialties

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 6198492-1206 (UT)

Registry record

NPI
1508893652
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Jun 2006
Record last updated
25 Jun 2013

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.