Brett Davis in Big Bear Lake - Physician Assistant
Brett Davis - NPI 1700091436
Brett Davis is a Physician Assistant in Big Bear Lake, California. Brett Davis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brett Davis is 1700091436. The last update date is 2010-09-21.
Brett Davis's current location address is 41949 Big Bear Blvd, Big Bear Lake, California. You can contact this provider via phone number 9098783696. The mailing address for Brett Davis is 41949 Big Bear Blvd, Big Bear Lake, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brett Davis |
|---|---|
| Address | 41949 Big Bear Blvd, Big Bear Lake, California |
| Phone Number | 9098783696 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1700091436 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2010-09-21 |
Provider Mailing Address Detail
| Address | 41949 Big Bear Blvd |
|---|---|
| City | Big Bear Lake |
| State | California (CA) |
| Post Code | 92315 |
| Phone Number | 9098783696 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA13662 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Brett Davis's unique identification number?
The Brett Davis has been assigned the NPI (National Provider Identifier) Number 1700091436 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Brett Davis's facilities are situated?
The facilities of Brett Davis are physically located at the following address: 41949 Big Bear Blvd, Big Bear Lake, CA, 92315.
What is Brett Davis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brett Davis's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did Brett Davis receive its 1700091436 assignment from the Centers for Medicare & Medicaid Services?
The Brett Davis was assigned its 1700091436 on 2007-05-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Brett Davis most recently updated or refreshed?
The details pertaining to the Brett Davis, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-09-21.