Randolph Clark Davis in Ketchikan - Rehabilitation
Randolph Clark Davis - NPI 1588740674
Randolph Clark Davis is a Rehabilitation in Ketchikan, Alaska. Randolph Clark Davis practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Randolph Clark Davis is 1588740674. The last update date is 2017-09-19.
Randolph Clark Davis's current location address is 320 Bawden St, Ketchikan, Alaska. You can contact this provider via phone number 9072256815 and fax number 9072255767. The mailing address for Randolph Clark Davis is 320 Bawden St, Ketchikan, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph Clark Davis |
|---|---|
| Address | 320 Bawden St, Ketchikan, Alaska |
| Phone Number | 9072256815 |
| Fax Number | 9072255767 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1588740674 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2017-09-19 |
Provider Mailing Address Detail
| Address | 320 Bawden St |
|---|---|
| City | Ketchikan |
| State | Alaska (AK) |
| Post Code | 999016503 |
| Phone Number | 9072256815 |
| Fax Number | 9072255767 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 111Nr0400X |
| Licence No | 149 |
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Definition: Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an |
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What is the unique provider identifier assigned to Randolph Clark Davis?
The Randolph Clark Davis has been issued the NPI (National Provider Identifier) 1588740674 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Randolph Clark Davis located?
The Randolph Clark Davis is located at 320 Bawden St, Ketchikan, AK 999016503.
What is Randolph Clark Davis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Randolph Clark Davis is Rehabilitation, and the taxonomy classification code that categorizes this area of expertise is 111Nr0400X.
On what date did the Randolph Clark Davis receive its 1588740674 assignment from the Centers for Medicare & Medicaid Services?
The Randolph Clark Davis was assigned its 1588740674 by the Centers for Medicare & Medicaid Services on 2006-10-31.
As of what date were the details related to Randolph Clark Davis most recently updated or revised?
The information pertaining to Randolph Clark Davis, including its address, specialty, and other relevant details, was last updated or revised on 2017-09-19.
NPI Number: 1215930573
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