R Dale Davis is a Internal Medicine in Green Bay, Wisconsin. R Dale Davis practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for R Dale Davis is 1366455503. The last update date is 2010-07-13.
R Dale Davis's current location address is 704 S Webster Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204337516 and fax number 9204337464. The mailing address for R Dale Davis is 704 S Webster Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | R Dale Davis |
|---|---|
| Address | 704 S Webster Ave, Green Bay, Wisconsin |
| Phone Number | 9204337516 |
| Fax Number | 9204337464 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366455503 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2010-07-13 |
Provider Mailing Address Detail
| Address | 704 S Webster Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 54301 |
| Phone Number | 9204337516 |
| Fax Number | 9204337464 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 30054 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31492900 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to R Dale Davis by the Centers for Medicare & Medicaid Services (CMS)?
The R Dale Davis has been assigned the NPI (National Provider Identifier) 1366455503. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of R Dale Davis?
The R Dale Davis is situated at 704 S Webster Ave, in the city of Green Bay, state of WI, with the zip code 54301.
What is the R Dale Davis's specialty and taxonomy code?
The R Dale Davis's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366455503 to R Dale Davis?
The Centers for Medicare & Medicaid Services originally issued the 1366455503 to R Dale Davis on 2006-08-15.
When was the information regarding R Dale Davis most recently updated?
The details pertaining to the R Dale Davis, including its address, specialty, and other relevant information, were last refreshed on 2010-07-13.
NPI Number: 1841297926
Address: Po Box 220627, West Palm Beach, FL