Russell C Davis in Larkspur - Podiatrist

Russell C Davis - NPI 1376644799

Russell C Davis is a Podiatrist in Larkspur, California. Russell C Davis practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Russell C Davis is 1376644799. The last update date is 2007-07-08.

Russell C Davis's current location address is 2 Bon Air Rd Ste 150, Larkspur, California. You can contact this provider via phone number 4159273336 and fax number 4159273170. The mailing address for Russell C Davis is 2 Bon Air Rd Ste 150, Larkspur, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell C Davis
Address 2 Bon Air Rd Ste 150, Larkspur, California
Phone Number 4159273336
Fax Number 4159273170
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1376644799
Provider Enumeration Date 2006-09-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2 Bon Air Rd Ste 150
City Larkspur
State California (CA)
Post Code 949391142
Phone Number 4159273336
Fax Number 4159273170

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No E2804
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000E28040 CA --

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FAQs about Russell C Davis

What is the unique provider identifier assigned to Russell C Davis?

The Russell C Davis has been issued the NPI (National Provider Identifier) 1376644799 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Russell C Davis's physical address?

The Russell C Davis is physically located at 2 Bon Air Rd Ste 150, in the city of Larkspur, CA, with the postal code 949391142.

What is the area of specialization for Russell C Davis, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Russell C Davis is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1376644799 to Russell C Davis?

The Centers for Medicare & Medicaid Services assigned the 1376644799 to Russell C Davis on 2006-09-26.

As of what date was the information regarding Russell C Davis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Russell C Davis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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