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Dr. Randel C Davis, DO

Emergency Medicine in Phoenix, AZ. Individual provider (NPI-1).

NPI number1265415392
StatusActive
Last updated in NPPESNov 27, 2018

Details

NPI
1265415392
Entity type
Individual (NPI-1)
Name
Dr. Randel C Davis
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 22, 2005
Last updated
Nov 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine2484AZYes

Practice location

2000 W Bethany Home Rd
Phoenix, AZ 85015-2443

Phone 602-249-0212

Mailing address

15623 S 16th St
Phoenix, AZ 85048-8632

Phone 480-460-4525

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