| NPI | 1902077100 |
|---|---|
| Doing Business As | DAVIS MEDICAL CENTER/DAVIS FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | PAUL E QUINTERO Co Owner 928-634-5118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 4555) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AZ 4555) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2010-10-28 |