Organization · NPI-2
Arthur R Davis Jr MD A Medical Corporation
Family Medicine · Indio, CA
NPI number1609059856
StatusActive
Last updated in NPPESOct 27, 2010
Details
- NPI
- 1609059856
- Entity type
- Organization (NPI-2)
- Legal business name
- Arthur R Davis Jr MD A Medical Corporation
- Organization subpart
- No
- Enumeration date
- Dec 11, 2007
- Last updated
- Oct 27, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G19154 | CA | Yes |
Practice location
81709 Dr Carreon Blvd Ste C5Indio, CA 92201-5577
Phone 760-347-7730 · Fax 760-342-3001
Mailing address
81709 Dr Carreon Blvd Ste C5Indio, CA 92201-5577
Phone 760-347-7730 · Fax 760-342-3001
Authorized official
Christina Arceo
Office Manager
7603477730
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