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NPI Code Detail

MEDICARE: MR. CHRISTOPHER DAVIS RN

MEDICARE: MR. CHRISTOPHER DAVIS RN
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
1163WM0705XMedical-Surgical Registered NurseRN203739AZ

General Provider Information

NPI Number : 1720930043
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER DAVIS RN
Provider Business Mailing Address
First Line : 4625 N CAMINO GACELA
Second Line :
City : TUCSON
State : AZ
Zip : 85718-6811
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5301 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2874
Country : US
Telephone Number : 523-324-5461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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