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1538246152

NPI Code Detail

MEDICARE: DEBRA JEAN DAVIS M.D.

MEDICARE: DEBRA JEAN 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
1	207V00000X	Obstetrics & Gynecology Physician	MD00045314	WA
2	207V00000X	Obstetrics & Gynecology Physician	8437	ND
3	207VC0200X	Critical Care Medicine (Obstetrics & Gynecology) Physician	8437	ND
4	207VC0300X	Complex Family Planning Physician	8437	ND
5	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	8437	ND
6	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	67111-20	WI
7	207V00000X	Obstetrics & Gynecology Physician	67111-20	WI
8	207V00000X	Obstetrics & Gynecology Physician	10260	SD

General Provider Information

NPI Number	:	1538246152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA JEAN DAVIS M.D.

Provider Business Mailing Address
First Line	:	200 CONTINENTAL DR STE 401
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19713-4337
Country	:	US
Telephone Number	:	509-570-3701
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 CONTINENTAL DR STE 401
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19713-4337
Country	:	US
Telephone Number	:	509-570-3701
Fax Number	:

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	01/21/2026

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Directions to “ DEBRA JEAN DAVIS M.D.” Practice Location

Language	Start Address	Practice Location

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