CHARLES J DAVIS

RENTON, WA
NPI1962422956
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  PA10004461)
Enumeration Date2006-07-20
Last Update Date2020-03-31
Business Address
CHARLES J DAVIS PA-C
14410 SE PETROVITSKY RD STE 104
RENTON, WA 98058-8900
Phone number: 425-690-3405
Mailing Address
CHARLES J DAVIS PA-C
3600 LIND AVE SW SUITE 100 ATTN CREDENTIALING
RENTON, WA 98057-4970
Phone number: 425-690-2715
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