MEDICARE: SCOTT F DAVIES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	22136	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689621591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT F DAVIES MD

Provider Business Mailing Address
First Line	:	701 PARK AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55415-1829
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 PARK AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55415-1829
Country	:	US
Telephone Number	:	612-873-9700
Fax Number	:	612-904-4675

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	09/11/2012

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Directions to “ SCOTT F DAVIES MD” Practice Location

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