MEDICARE: DR. FRED NEAL DAVIS MD

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
1	208VP0014X	Interventional Pain Medicine Physician	10641	AZ

General Provider Information

NPI Number	:	1225099161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRED NEAL DAVIS MD

Provider Business Mailing Address
First Line	:	6619 N SAINT ANDREWS DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-2637
Country	:	US
Telephone Number	:	616-940-0660
Fax Number	:

Provider Business Practice Location Address
First Line	:	6619 N SAINT ANDREWS DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-2637
Country	:	US
Telephone Number	:	616-450-6096
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	11/20/2025

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