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NPI Code Detail

MEDICARE: ROBERT M. DAVIS M.D.

MEDICARE: ROBERT M. 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
12083X0100XOccupational Medicine Physician11376NV

General Provider Information

NPI Number : 1831217272
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT M. DAVIS M.D.
Provider Business Mailing Address
First Line : 5080 SPECTRUM DR
Second Line : SUITE 1200 WEST
City : ADDISON
State : TX
Zip : 75001-4648
Country : US
Telephone Number : 972-364-8000
Fax Number : 214-775-4515
Provider Business Practice Location Address
First Line : 5850 S POLARIS RD
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89118-3185
Country : US
Telephone Number : 702-739-9957
Fax Number : 702-739-9370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 11/17/2011

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