Healthcare Provider Details

I. General information

NPI: 1366597718
Provider Name (Legal Business Name): DAVIS MEDICAL CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 S 6TH ST
COTTONWOOD AZ
86326-4237
US

IV. Provider business mailing address

55 S 6TH ST
COTTONWOOD AZ
86326-4237
US

V. Phone/Fax

Practice location:
  • Phone: 928-634-5118
  • Fax: 928-634-8522
Mailing address:
  • Phone: 928-634-5118
  • Fax: 928-634-8522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4555
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number4555
License Number StateAZ

VIII. Authorized Official

Name: DR. LINDA A DAVIS
Title or Position: OWNER
Credential: D.O.
Phone: 928-634-5118