Scott Davis, DO, PA
Anesthesiology in Dallas, TX. Organization (NPI-2).
NPI number1679500045
StatusActive
Last updated in NPPESJan 10, 2008
Details
- NPI
- 1679500045
- Entity type
- Organization (NPI-2)
- Legal business name
- Scott Davis, DO, PA
- Organization subpart
- No
- Enumeration date
- Jun 28, 2006
- Last updated
- Jan 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
6757 Arapaho RdSte. 711 Pmb 335
Dallas, TX 75248-4005
Phone 972-488-8926
Mailing address
255 W Michigan AveJackson, MI 49201-2218
Phone 517-787-6440 · Fax 517-787-4146
Authorized official
Gordon Scott Davis
Authorized Representative/Owner
9724888926
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