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NPI Code Detail

MEDICARE: MR. ASKIA DAVIS F.N.P.

MEDICARE: MR. ASKIA DAVIS F.N.P.
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
1207QA0401XAddiction Medicine (Family Medicine) PhysicianAP60540773WA

General Provider Information

NPI Number : 1871708792
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ASKIA DAVIS F.N.P.
Provider Business Mailing Address
First Line : 30213 33RD AV SW
Second Line : UNIT 1/2 BOX 13
City : FEDERAL WAY
State : WA
Zip : 98023-6022
Country : US
Telephone Number : 803-318-5004
Fax Number :
Provider Business Practice Location Address
First Line : 505 WASHINGTON AVE S
Second Line :
City : KENT
State : WA
Zip : 98032-5709
Country : US
Telephone Number : 253-833-7444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 10/10/2023

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