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1508946351
BRIAN MARK DAVIS
REDDING, CA
NPI
1508946351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA 18631)
Enumeration Date
2006-10-16
Last Update Date
2019-10-30
Business Address
BRIAN MARK DAVIS P.A.
2510 AIRPARK DR STE 301
REDDING, CA 96001-2462
Phone number: 530-242-3500
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Mailing Address
BRIAN MARK DAVIS P.A.
3400 DATA DR ATTN CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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