MEDICARE: DR. MICHAEL ARTHUR DAVIS D.O.

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	2086S0129X	Vascular Surgery Physician	8425	AZ

General Provider Information

NPI Number	:	1689928061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ARTHUR DAVIS D.O.

Provider Business Mailing Address
First Line	:	2744 SILVER CREEK RD
Second Line	:
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-7913
Country	:	US
Telephone Number	:	928-704-7166
Fax Number	:	928-704-7144

Provider Business Practice Location Address
First Line	:	2744 SILVER CREEK RD
Second Line	:
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-7913
Country	:	US
Telephone Number	:	928-704-7166
Fax Number	:	928-704-7144

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

Provider Enumeration Date	:	11/06/2012
Last Update Date	:	08/28/2020

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