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NPI Code Detail

MEDICARE: DR. IRA STEPHEN DAVIS M.D.

MEDICARE:  DR. IRA STEPHEN DAVIS  M.D.
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
1207X00000XOrthopaedic Surgery Physician16864CO

General Provider Information

NPI Number : 1063543759
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRA STEPHEN DAVIS M.D.
Provider Business Mailing Address
First Line : 1401 WEWATTA ST UNIT 1104
Second Line :
City : DENVER
State : CO
Zip : 80202-1348
Country : US
Telephone Number : 303-929-3797
Fax Number : 303-534-4211
Provider Business Practice Location Address
First Line : 1401 WEWATTA ST UNIT 1104
Second Line :
City : DENVER
State : CO
Zip : 80202-1348
Country : US
Telephone Number : 303-929-3797
Fax Number : 303-534-4211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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Directions to “ DR. IRA STEPHEN DAVIS M.D.” Practice Location

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