Healthcare Provider Details

I. General information

NPI: 1437156205
Provider Name (Legal Business Name): FRANK S. DAVIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 10/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5861 N ORACLE RD
TUCSON AZ
85704-3813
US

IV. Provider business mailing address

5861 N ORACLE RD
TUCSON AZ
85704-3813
US

V. Phone/Fax

Practice location:
  • Phone: 520-293-6686
  • Fax: 520-887-1736
Mailing address:
  • Phone: 520-293-6686
  • Fax: 520-887-1736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number36401
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: