Johnny Elbert Davis in Usaf Academy - Physician Assistant

Johnny Elbert Davis - NPI 1316086630

Johnny Elbert Davis is a Physician Assistant in Usaf Academy, Colorado. Johnny Elbert Davis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Johnny Elbert Davis is 1316086630. The last update date is 2015-08-17.

Johnny Elbert Davis's current location address is 4102 Pinion Dr, Usaf Academy, Colorado. You can contact this provider via phone number 7193335260. The mailing address for Johnny Elbert Davis is 4102 Pinion Dr, Usaf Academy, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Johnny Elbert Davis
Address 4102 Pinion Dr, Usaf Academy, Colorado
Phone Number 7193335260
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1316086630
Provider Enumeration Date 2007-02-05
Last Updated Date 2015-08-17

Provider Mailing Address Detail

Address 4102 Pinion Dr
City Usaf Academy
State Colorado (CO)
Post Code 808402502
Phone Number 7193335260
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
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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FAQs about Johnny Elbert Davis

What is the unique provider identifier assigned to Johnny Elbert Davis?

The Johnny Elbert Davis has been issued the NPI (National Provider Identifier) 1316086630 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Johnny Elbert Davis is physically located?

The Johnny Elbert Davis is physically situated at the following address: 4102 Pinion Dr, Usaf Academy, CO, 808402502.

What is Johnny Elbert Davis's specialized field of practice, and what is the corresponding taxonomy classification code?

The Johnny Elbert Davis's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1316086630 to Johnny Elbert Davis?

The Johnny Elbert Davis received its 1316086630 assignment from the Centers for Medicare & Medicaid Services on 2007-02-05.

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

The information related to Johnny Elbert Davis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-08-17.

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