Physician Compare National (NPI:1962562363)

HEALTHCARE PROVIDER: ROBERT OWEN DAVIES M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1962562363
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921032939
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110401000757
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DAVIES
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	OWEN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	471 W 7TH ST
	Group Practice or individual's line 1 address
City	SAN PEDRO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	907313207
	Group Practice or individual's zip code (9 digits when available)
Phone Number	31083365720
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y